Individual
JESSICA E WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
(847) 723-3532
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
209006937
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.006937
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623422
BCBS ID IL
—
Enumeration date
01/21/2008
Last updated
05/24/2024
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