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1437710787
JESSICA GENSLER WALLACE
CHICAGO, IL
NPI
1437710787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL 209.019552)
Enumeration Date
2019-06-27
Last Update Date
2022-11-28
Business Address
JESSICA GENSLER WALLACE DNP
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 312-227-4000
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Mailing Address
JESSICA GENSLER WALLACE DNP
345 E OHIO ST APT 1510
CHICAGO, IL 60611-4047
Phone number: 612-986-5139
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