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Kaylee Jamison

Dentist in North Chicago, IL. Individual provider (NPI-1).

NPI number1154773596
StatusActive
Last updated in NPPESJul 11, 2016

Details

NPI
1154773596
Entity type
Individual (NPI-1)
Name
Kaylee Jamison
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2016
Last updated
Jul 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist019.030804ILYes

Practice location

3001 Green Bay Rd
Captain James A. Lovell Federal Health Care Center
North Chicago, IL 60064-3048

Phone 847-688-1900

Mailing address

3001 Green Bay Rd
Captain James A. Lovell Federal Health Care Center
North Chicago, IL 60064-3048

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