Individual
JEWEL SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(773) 343-4071
(312) 864-9009
Mailing address
1717 PINEHURST LN, FLOSSMOOR, IL 60422-1964
(708) 310-8877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041350747
IL
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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