Provider Demographics
NPI:1427532746
Name:RECKER, JENNIFER D (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:D
Last Name:RECKER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 N MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1125
Mailing Address - Country:US
Mailing Address - Phone:847-338-0057
Mailing Address - Fax:855-596-4318
Practice Address - Street 1:980 N MICHIGAN AVE STE 1090
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4521
Practice Address - Country:US
Practice Address - Phone:847-302-9916
Practice Address - Fax:855-596-4318
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-21
Last Update Date:2025-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0994112363LF0000X
CA95010948363LF0000X
IL209020702363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily