Individual
JACQUELINE CHAN BACCAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-3871
(224) 610-2958
Mailing address
283 KING LN, DES PLAINES, IL 60016-5953
(847) 219-7188
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041269945
IL
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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