Elegant, Jacqueline Sarah

Elegant, Jacqueline Sarah is an individual health care provider with primary practice located at 225 E Chicago Ave Mailstop 246, Chicago IL 60611-2991. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Elegant, Jacqueline Sarah can be contacted via phone (847) 274-9050.

Contact Information

Primary practice address
225 E Chicago Ave Mailstop 246 Chicago IL 60611-2991
Phone: (847) 274-9050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 291.010126 Illinois

Profile Details

NPI number 1326480021
LBN Legal business name Elegant, Jacqueline Sarah
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2013
Last updated Jul 23rd, 2013 - about 11 years ago

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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