Individual
JESSICA ROSE TESSENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1605 S MICHIGAN AVE, CHICAGO, IL 60616-1209
(847) 997-3175
Mailing address
1605 S MICHIGAN AVE, CHICAGO, IL 60616-1209
(847) 997-3175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008597
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/19/2021
Last updated
11/02/2021
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