Individual
JESSICA HUDNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W BUENA AVE, CHICAGO, IL 60613-6230
(773) 665-8052
Mailing address
1237 N WALLER AVE, CHICAGO, IL 60651-1150
(312) 315-3240
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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