Individual
JACQUELYNNE WALSH MESSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
675 NORTH ST. CLAIR STREET, CHICAGO, IL 60611
(312) 695-1800
(312) 695-4741
Mailing address
3304 W CULLOM AVE UNIT 2, CHICAGO, IL 60618
(734) 476-1833
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209009643
IL
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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