Bastidas, Jessica
Bastidas, Jessica is an individual health care provider with primary practice located at 5215 N California Ave Ste F801 , Chicago IL 60625-7014. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Bastidas, Jessica can be contacted via phone (847) 503-3000.Contact Information
Primary practice address
5215 N California Ave Ste F801
Chicago IL 60625-7014
Phone: (847) 503-3000
Fax: (847) 503-3500
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.005220 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085005220 | Illinois |
Profile Details
NPI number | 1205238367 |
---|---|
LBN Legal business name | Bastidas, Jessica |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2014 |
Last updated | Apr 9th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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