Individual
JACLYN NICOLE LILEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1875 W DEMPSTER ST, PARK RIDGE, IL 60068-1186
(815) 342-6516
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-011090
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/20/2024
Last updated
05/05/2025
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