Individual
JESSICA GEWONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10640 165TH ST, ORLAND PARK, IL 60467-8734
(708) 364-0261
Mailing address
10640 165TH ST, ORLAND PARK, IL 60467-8734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.011905
IL
Other
Enumeration date
12/11/2025
Last updated
12/28/2025
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