Individual
JESSE SHIELS COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1431 N WESTERN AVE STE 406, CHICAGO, IL 60622-1774
(312) 633-5841
(312) 491-5020
Mailing address
1431 N WESTERN AVE STE 406, CHICAGO, IL 60622-1774
(312) 633-5841
(312) 491-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD219518
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2021
Last updated
12/17/2024
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