Individual
JESSICA ANN GUBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 W WELLINGTON AVE APT 2C, CHICAGO, IL 60657-7401
(773) 330-7861
Mailing address
607 W WELLINGTON AVE APT 2C, CHICAGO, IL 60657-7401
(773) 330-7861
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
041520238
IL
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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