Individual
JADE FRENCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 S WABASH AVE, CHICAGO, IL 60653-2120
(312) 772-0056
Mailing address
4035 S WABASH AVE, CHICAGO, IL 60653
(312) 772-0056
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043118652
IL
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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