Search › Illinois › 222Q00000X
Jessica Penny
NPI 1265818025 · on the registry since 2015 · sole proprietor
Practice
- Address
- 435 S 4th St
Caseyville, IL 62232 - Phone
- (618) 972-4600
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-04
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