Most Relevant Information
Provider Data
| NPI Number: | 1003217571 |
| Provider Name: | JESSICA PAXTON |
| Entity Type: | Individual |
| Taxonomy Code: | 103G00000X |
| Specialty: | Clinical Neuropsychologist |
| License Number: | 020878 |
Most Important Dates
| Enumeration Date: | 09/15/2014 |
| Last Updated: | 12/04/2018 |
Provider Practice Location
10730 W 143RD ST STE 37
ORLAND PARK
IL
604621940
Practice Location Phone/Fax
| Phone: | 8005640863 |
| Fax: |
Provider Mailing Location
10730 W 143RD ST STE 37
ORLAND PARK
IL
604621940
Provider Mailing Phone/Fax
| Phone: | 8005640863 |
| Fax: |