Provider Demographics
NPI:1669733721
Name:WYPIJ, JACQUELINE (DVM, MS)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:
Last Name:WYPIJ
Suffix:
Gender:F
Credentials:DVM, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 WEST HAZELWOOD DR
Mailing Address - Street 2:UNIV. OF ILLINOIS VETERINARY TEACHING HOSPITAL
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61802-4714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1008 W HAZELWOOD DR
Practice Address - Street 2:MC004
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61802-4714
Practice Address - Country:US
Practice Address - Phone:217-333-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL090010824174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian