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Jacqueline Powell
NPI 1124400817 · on the registry since 2015
Practice
- Address
- 312 W 27th St
Apt 1
Chicago, IL 60616 - Phone
- (639) 254-1849
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-18
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