Individual
JADE ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9923 RIDGELAND AVE # 90, CHICAGO RIDGE, IL 60415-1262
(773) 442-2451
Mailing address
9923 RIDGELAND AVE # 90, CHICAGO RIDGE, IL 60415-1262
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209033057
IL
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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