Individual
JASMINE GREGORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 120TH PL, BLUE ISLAND, IL 60406-1130
(708) 351-4881
Mailing address
2255 W 120TH PLACE, BLUE ISLAND, IL 60406
(708) 974-5840
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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