Individual
MS. JESSICA KATHRYN SARGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 WESTERN AVE STE 108, BLUE ISLAND, IL 60406-1493
(708) 385-3700
Mailing address
350 N CLARK ST STE 600, CHICAGO, IL 60654-4782
(312) 274-4580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032369
IL
Other
Enumeration date
07/08/2019
Last updated
08/29/2019
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