| Doctor Name: | MS. CONSTANCE JAEGLE |
| NPI Number: | 1629021332 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., M.S. |
| License Number: | 041154564 |
| Business Practice Address: | 109 E Elm St Streator, IL - 613642223 |
| Business Phone Number: | 8156724587 |
| Business Fax Number: | 8156733582 |
| Mailing Address: | 109 E Elm St, STREATOR |
| State: | IL |
| Postal Code: | 613642223 |
| Phone Number: | 8156724587 |
| Fax Number: | 8156733582 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 041154564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |