Harrison, Jacqueline Lee

Harrison, Jacqueline Lee is an individual health care provider with primary practice located at 1969 W Ogden Ave Dept. Of Surgery, Chicago IL 60612-3765. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Harrison, Jacqueline Lee can be contacted via phone (312) 996-9336.

Contact Information

Primary practice address
1969 W Ogden Ave Dept. Of Surgery Chicago IL 60612-3765
Phone: (312) 996-9336
Fax: (312) 355-3763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-097361 Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036-097361 Illinois

Profile Details

NPI number 1215952536
LBN Legal business name Harrison, Jacqueline Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 26th, 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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