SearchIllinois183500000X

Jessica Depaul

NPI 1760162994 · on the registry since 2023

Practice

Address
5503 E State St
Rockford, IL 61108
Phone
(779) 208-3626
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-21

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