Individual
JESSICA LYNN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
880 W CENTRAL RD STE 3800, ARLINGTON HEIGHTS, IL 60005-2369
(847) 255-0900
Mailing address
457 HAWTHORNE BLVD, GLEN ELLYN, IL 60137-4029
(312) 259-1011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085004057
IL
363AS0400X
Surgical Physician Assistant
Primary
085004057
IL
Other
Enumeration date
11/01/2011
Last updated
11/03/2017
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