Individual
JESSE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6250 S COTTAGE GROVE AVE, CHICAGO, IL 60637-2530
(773) 663-9639
Mailing address
6250 S COTTAGE GROVE AVE, CHICAGO, IL 60637-2530
(312) 682-6110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010877
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/24/2024
Last updated
04/16/2025
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