Individual
JESSICA PAWLICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 E TERRA COTTA AVE STE 132, CRYSTAL LAKE, IL 60014-3655
(815) 322-9300
Mailing address
820 E TERRA COTTA AVE STE 132, CRYSTAL LAKE, IL 60014-3655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277000116
IL
Other
Enumeration date
11/05/2014
Last updated
10/31/2019
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