Fitzgerald, Jacqueline

Fitzgerald, Jacqueline is an individual health care provider with primary practice located at 1000 N Westmoreland Rd Ofc 3556 , Lake Forest IL 60045-1658. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Fitzgerald, Jacqueline can be contacted via phone (224) 271-5643.

Contact Information

Primary practice address
1000 N Westmoreland Rd Ofc 3556 Lake Forest IL 60045-1658
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 209023965 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041.384429 Illinois

Profile Details

NPI number 1144808882
LBN Legal business name Fitzgerald, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2021
Last updated Sep 22nd, 2021 - about 3 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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