Individual
KAYLEE JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 GREEN BAY RD, CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
Mailing address
3001 GREEN BAY RD, CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER, NORTH CHICAGO, IL 60064-3048
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030804
IL
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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