Individual
JESSICA ESPINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APN, CPNP
Contact information
Practice address
3600 W FULLERTON AVE, CHICAGO, IL 60647
(773) 782-2800
Mailing address
3600 W FULLERTON AVE, CHICAGO, IL 60647-2319
(773) 782-2800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016425
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209016425
IL APN LICENSE NUMBER
IL
Enumeration date
08/30/2017
Last updated
09/29/2020
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