SearchIllinois103TS0200X

Jessica White, SSP

NPI 1245194158 · on the registry since 2025

Practice

Address
520 Gary Dr
Bolingbrook, IL 60440
Phone
(630) 739-7155
Clinicians at this address
2

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-15

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