Individual
JESSICA CHRISTINE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 CASCADE DR, INDIAN HEAD PARK, IL 60525-4483
(708) 277-4558
Mailing address
170 CASCADE DR, INDIAN HEAD PARK, IL 60525-4483
(708) 277-4558
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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