Individual
JASMINE JODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5375
Mailing address
3825 CADELLA CIR, NAPERVILLE, IL 60564-9548
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.084596
IL
Other
Enumeration date
02/08/2023
Last updated
06/14/2024
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