Individual
JESSICA LIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
40 75TH ST, WILLOWBROOK, IL 60527-2325
(630) 581-5372
(630) 568-3247
Mailing address
40 W. 75TH ST., CHICAGO, IL 60527
(630) 568-3247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018488
IL
Other
Enumeration date
11/30/2018
Last updated
10/17/2019
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