Provider Demographics
NPI:1205276011
Name:VLAMING, JESSICA K (PA)
Entity type:Individual
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First Name:JESSICA
Middle Name:K
Last Name:VLAMING
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Gender:F
Credentials:PA
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Mailing Address - Street 1:1653 W CONGRESS PKWY
Mailing Address - Street 2:177 MURDOCK
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3833
Mailing Address - Country:US
Mailing Address - Phone:312-947-0229
Mailing Address - Fax:312-942-4021
Practice Address - Street 1:1653 W CONGRESS PKWY
Practice Address - Street 2:177 MURDOCK
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3833
Practice Address - Country:US
Practice Address - Phone:312-947-0229
Practice Address - Fax:312-942-4021
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant