Individual
JESSICA SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-8376
Mailing address
225 E CHICAGO AVE # 82, CHICAGO, IL 60611-2991
(312) 227-8376
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
247000093
IL
Other
Enumeration date
01/11/2018
Last updated
06/16/2018
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