Individual
JACQUELINE PALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
635 N DEARBORN ST STE 100, CHICAGO, IL 60654-4618
(312) 694-2273
(312) 694-2129
Mailing address
635 N DEARBORN ST STE 100, CHICAGO, IL 60654-4618
(312) 694-2273
(312) 694-2129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020101
NY
363A00000X
Physician Assistant
Primary
085007354
IL
Other
Enumeration date
09/19/2016
Last updated
12/10/2024
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