Individual
MISS JESSICA LEE SUTFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 VILLAGE GRN STE 120, LINCOLNSHIRE, IL 60069-3095
(847) 634-1766
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096004258
IL
363A00000X
Physician Assistant
085007942
IL
363A00000X
Physician Assistant
Primary
7064
CT
363A00000X
Physician Assistant
PA101922
MA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
01/27/2016
Last updated
10/21/2025
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