Individual
JYESHA BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N DEARBORN ST APT 3102, CHICAGO, IL 60654-5387
(708) 965-0895
(708) 898-0198
Mailing address
750 N DEARBORN ST APT 3102, CHICAGO, IL 60654-5387
(708) 965-0895
(708) 898-0198
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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