Search › Illinois › 174H00000X
Jessica Bullock
NPI 1033952866 · on the registry since 2024 · sole proprietor
Practice
- Address
- 255 S Marion St
Oak Park, IL 60302 - Phone
- (708) 434-0235
- Organisation at this address
- The West Cook Ymcas Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 174H00000X
174H00000X
- Sex
- Female
- Record last updated
- 2024-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois