Individual
JASMINE MARIE GAONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4327 S ARCHER AVE, CHICAGO, IL 60632-2844
(773) 242-2370
(773) 249-1250
Mailing address
PO BOX 746721, ATLANTA, GA 30374-6721
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009762
IL
Other
Enumeration date
05/02/2023
Last updated
08/02/2023
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