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1730719832
JESSICA DESA
EVANSTON, IL
NPI
1730719832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209018417)
Enumeration Date
2020-01-17
Last Update Date
2020-02-26
Business Address
JESSICA DESA
2650 RIDGE AVE
EVANSTON, IL 60201-1700
Phone number: 847-570-1700
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Mailing Address
JESSICA DESA
2650 RIDGE AVE
EVANSTON, IL 60201-1700
Phone number: 847-570-1700
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