SearchIllinois103K00000X

Anne Laurie Jean Jacques

NPI 1316826175 · on the registry since 2025 · sole proprietor

Practice

Address
1240 W 87th St Apt 3c
Chicago, IL 60620
Phone
(407) 579-6379

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-27

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