Urbach, Jessica Rose

Urbach, Jessica Rose is an sole proprietor health care provider with primary practice located at 12255 S 80Th Ave Ste 204 , Palos Heights IL 60463-1284. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Urbach, Jessica Rose can be contacted via phone (708) 923-5900.

Contact Information

Primary practice address
12255 S 80Th Ave Ste 204 Palos Heights IL 60463-1284
Phone: (708) 923-5900
Fax: (708) 923-8599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006946 Illinois

Profile Details

NPI number 1780140806
LBN Legal business name Urbach, Jessica Rose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2019
Last updated Jul 17th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780140806 NPPES
Illinois Other 085006946 STATE LICENSE

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