Individual
JACQUELINE KELLY PIZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1445 ESSINGTON ROAD, JOLIET, IL 60435-2886
(815) 741-6900
Mailing address
1445 ESSINGTON ROAD, JOLIET, IL 60435-2886
(815) 741-6900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
209008277
IL
363LF0000X
Family Nurse Practitioner
Primary
209-008277
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209008277
—
IL
Enumeration date
12/07/2010
Last updated
05/03/2021
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