Individual
JESSICA IMUETINYAN OBEAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2650 RIDGE AVE., IM HOSPITALISTS STE 4206, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108
Mailing address
2650 RIDGE AVE., IM HOSPITALISTS STE 4206, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036160988
IL
208M00000X
Hospitalist Physician
Primary
036160988
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2019
Last updated
07/26/2022
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