Individual
JESSICA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-6730
Mailing address
912 S WOOD ST # MC799, CHICAGO, IL 60612-4300
(312) 413-0684
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209021495
IL
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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