Individual
JENNIFER E CHEESBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
125056694
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
142370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125056694
STATE LICENSE NUMBER
IL
Enumeration date
07/02/2009
Last updated
06/28/2016
Update your record
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