Individual
JILLIAN MEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13011 S 104TH AVE, PALOS PARK, IL 60464-1506
(708) 274-3278
(708) 274-3299
Mailing address
13011 S 104TH AVE, PALOS PARK, IL 60464-1506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085007039
IL
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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