Individual
JESSICA HOSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-6765
Mailing address
111 S MORGAN ST APT 707, CHICAGO, IL 60607-2733
(815) 483-1359
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125.084818
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/01/2024
Last updated
06/21/2024
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