SearchIllinois224Z00000X

Jessica Sams

NPI 1386053098 · on the registry since 2014 · sole proprietor

Practice

Address
404 Broadway St
Gillespie, IL 62033
Phone
(217) 324-2153
Fax
(217) 324-2770

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-06

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