Most Relevant Information
Provider Data
| NPI Number: | 1003264797 |
| Provider Name: | JAQUESZIAN DUKES |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/02/2016 |
| Last Updated: | 06/02/2016 |
Provider Practice Location
325 S ALBANY AVE
CHICAGO
IL
606122723
Practice Location Phone/Fax
| Phone: | 8722056111 |
| Fax: |
Provider Mailing Location
325 S ALBANY AVE
CHICAGO
IL
606122723
Provider Mailing Phone/Fax
| Phone: | 8722056111 |
| Fax: |