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Individual

JESSICA LYNN PETRISKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
2728 N HAMPDEN CT APT 1701, CHICAGO, IL 60614-1629
(708) 822-9008

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209022027
IL

Other

Enumeration date
07/01/2021
Last updated
04/20/2022
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