Organization
LIVESTRONG MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SUE KOT (OWNER)
(708) 691-4890
Entity
Organization
Contact information
Practice address
9019 WILLOW LN, MOKENA, IL 60448-8374
(708) 691-4890
Mailing address
9019 WILLOW LN, MOKENA, IL 60448-8374
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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