Scalissi, Jacqueline E.

Scalissi, Jacqueline E. is an individual health care provider with primary practice located at 2202 Harlem Rd Suite 200, Loves Park IL 61111-2754. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Scalissi, Jacqueline E. can be contacted via phone (815) 877-4848.

Contact Information

Primary practice address
2202 Harlem Rd Suite 200 Loves Park IL 61111-2754
Phone: (815) 877-4848
Fax: (815) 654-5342
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 041.354363 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209.010531 Illinois

Profile Details

NPI number 1477826311
LBN Legal business name Scalissi, Jacqueline E.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2012
Last updated Jul 16th, 2014 - about 12 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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