Most Relevant Information
Provider Data
| NPI Number: | 1003208554 |
| Provider Name: | JESSICA EMILIA WAHI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/20/2015 |
| Last Updated: | 02/20/2015 |
Provider Practice Location
660 N PEORIA ST APT 5S
CHICAGO
IL
606426912
Practice Location Phone/Fax
| Phone: | 3045453095 |
| Fax: |
Provider Mailing Location
660 N PEORIA ST APT 5S
CHICAGO
IL
606426912
Provider Mailing Phone/Fax
| Phone: | 3045453095 |
| Fax: |