Individual
MRS. JESSICA LYNN DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 W NORTH AVE, SUITE 607, MELROSE PARK, IL 60160-1634
(708) 681-7809
(708) 681-7808
Mailing address
5448 W GRACE ST, CHICAGO, IL 60641-3211
(479) 427-9175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005374
IL
Other
Enumeration date
03/04/2015
Last updated
04/06/2021
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