Individual
JADYN POWELL-CORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18336 MARSHFIELD AVE, HOMEWOOD, IL 60430-3318
(219) 427-8085
Mailing address
18336 MARSHFIELD AVE, HOMEWOOD, IL 60430-3318
(219) 427-8085
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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