Organization
JESS LONDON SHIELDS PLLC
Active
Organization
JESS LONDON SHIELDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LONDON-SHIELDS LCSW (OWNER)
(773) 354-4513
Entity
Organization
Contact information
Practice address
6340 N WAYNE AVE APT 2N, CHICAGO, IL 60660-1615
(773) 354-4513
Mailing address
6340 N WAYNE AVE APT 2N, CHICAGO, IL 60660-1615
(773) 354-4513
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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