Individual
JESSICA ILISH FILIPSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1815 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 647-1700
(574) 647-7572
Mailing address
3245 HEALTH DR., SUITE 100, GRANGER, IN 46530-3245
(547) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003393A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300093344
—
IN
Enumeration date
12/03/2021
Last updated
08/02/2024
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