Individual
JESSICA QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2300 WOODLAND LN N, RIVERWOODS, IL 60015-1433
(312) 593-2953
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.019889
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209019889
—
IL
Enumeration date
08/26/2019
Last updated
04/14/2026
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