Provider Demographics
NPI:1750919452
Name:MCGEE, JESSICA
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 S CLARK ST FL 11
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-1882
Mailing Address - Country:US
Mailing Address - Phone:312-926-3627
Mailing Address - Fax:312-357-2284
Practice Address - Street 1:20 S CLARK ST FL 11
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-1882
Practice Address - Country:US
Practice Address - Phone:312-926-3627
Practice Address - Fax:312-357-2284
Is Sole Proprietor?:No
Enumeration Date:2020-03-29
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125075639207Q00000X
IL036166328207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine