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Individual

JASMINE MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 W 72ND ST, CHICAGO, IL 60636-4002
(312) 632-3107
Mailing address
PO BOX 804693, CHICAGO, IL 60680-4108
(312) 632-3107

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.413578
IL
163W00000X
Registered Nurse
28219841A
IN

Other

Enumeration date
02/08/2017
Last updated
02/08/2017
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