Individual
JESSE SCALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2311 N KIMBALL AVE APT 2, CHICAGO, IL 60647-2431
(773) 803-0000
Mailing address
2311 N KIMBALL AVE APT 2, CHICAGO, IL 60647-2431
(773) 803-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041479678
IL
363LF0000X
Family Nurse Practitioner
209034541
IL
Other
Enumeration date
12/11/2025
Last updated
01/23/2026
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