Souza, Jacqueline

Souza, Jacqueline is an individual health care provider with primary practice located at 5215 N California Ave Ste 601 , Chicago IL 60625-8564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Souza, Jacqueline can be contacted via phone (773) 878-3627.

Contact Information

Primary practice address
5215 N California Ave Ste 601 Chicago IL 60625-8564
Phone: (773) 878-3627
Fax: (773) 989-1669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36110540 Illinois

Profile Details

NPI number 1770636979
LBN Legal business name Souza, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Oct 30th, 2020 - about 6 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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