Individual
JESSICA KINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 WASHINGTON AVE, WAUCONDA, IL 60084-1370
(847) 224-9562
Mailing address
1101 WASHINGTON AVE, WAUCONDA, IL 60084-1370
(847) 224-9562
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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