Search › Illinois › 104100000X
Jamie Ketchum
NPI 1700736774 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1126 19th St
Rockford, IL 61104 - Phone
- (815) 721-2859
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Female
- Record last updated
- 2026-01-30
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