Individual
JACEY CREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6501 S CASS AVE, WESTMONT, IL 60559-3200
(630) 960-2026
(630) 515-3442
Mailing address
1524 HARVEST LN, WESTMONT, IL 60559-3470
(312) 998-9461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041483557
IL
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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