Individual
DR. JACQUELINE YVONNE GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036057878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057878
—
IL
Enumeration date
06/20/2006
Last updated
09/09/2011
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