Individual
JESSICA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 LAKE ST STE 302, OAK PARK, IL 60301-1047
(630) 261-1210
(630) 261-1211
Mailing address
3601 MCCORMICK AVE, BROOKFIELD, IL 60513-1615
(708) 299-6186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
09/06/2024
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