Individual
JILL D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17580 I-45 SOUTH, SUITE WM410, THE WOODLANDS, TX 77384
(936) 267-7400
Mailing address
1 W SUPERIOR ST APT 305, CHICAGO, IL 60654-8805
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
125
IL
Other
Enumeration date
04/11/2011
Last updated
03/17/2018
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