Individual
JYLIAN VICTORIA PACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 878-8200
Mailing address
30055 N WAUKEGAN RD APT 101, LAKE BLUFF, IL 60044-5416
(571) 329-5205
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085011442
IL
Other
Enumeration date
06/30/2025
Last updated
08/19/2025
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