Individual
JESSICA ANN DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(603) 455-4525
Mailing address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(603) 455-4525
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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