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
Phone: (224) 271-5643
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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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