Individual
KATHERINE DEVEREAUX JERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S HIGHLAND AVE STE 320, LOMBARD, IL 60148-5390
(833) 257-7546
(630) 495-1770
Mailing address
10118 SOMERSET DR, MUNSTER, IN 46321-4383
(219) 314-2102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009095
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2020
Last updated
07/22/2022
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