Individual
MRS. JAMIE LEE OLIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
259 E ERIE ST STE 2000, CHICAGO, IL 60611-3370
(312) 695-6647
Mailing address
259 E ERIE ST STE 2000, CHICAGO, IL 60611-3370
(312) 695-6647
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005304
IL
Other
Enumeration date
12/12/2014
Last updated
09/19/2023
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