Individual
JENNY JOTHIYOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(773) 547-3873
Mailing address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(773) 547-3873
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
08/05/2023
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