Individual
JACQUELYN T TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12820 S RIDGELAND AVE, PALOS HEIGHTS, IL 60463-2388
(708) 361-6714
Mailing address
12820 S RIDGELAND AVE, PALOS HEIGHTS, IL 60463-2388
(708) 361-6714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019858
IL
Other
Enumeration date
08/15/2019
Last updated
01/11/2024
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