Individual
JESSICA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 383-6200
Mailing address
340 E NORTH WATER ST UNIT 4410, CHICAGO, IL 60611-0818
(708) 302-0761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209021760
IL
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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