Individual provider · Type 1 NPI

Jessica Larsen

Critical Care Medicine Registered Nurse · Hines, IL

NPI number 1053224857 Active

Practice location

5000 S 5th Ave
Hines, IL 60141-3030

Mailing address

2433 S Harding Ave
Chicago, IL 60623-3715

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X253075 (TN)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1053224857

Jessica Larsen's National Provider Identifier is 1053224857, issued on Sep 24, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Hines, IL. The record was last updated on Sep 24, 2026.