Individual
DR. JESSICA A CONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3878
(312) 949-7211
(312) 949-7389
Mailing address
4-L PLAZA STE 35, GALESBURG, IL 61401-4501
(309) 343-1179
(309) 343-1179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010394
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010394
—
IL
Enumeration date
07/12/2010
Last updated
01/12/2016
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