Search › Illinois › 1041S0200X
Jacqueline White
NPI 1366259731 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4400 Home Ave
Stickney, IL 60402 - Phone
- (708) 783-4500
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-18
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