Individual provider · Type 1 NPI

Jessica Dineen, RSA

Surgical Physician Assistant · Mokena, IL

NPI number 1942051248 Active

Practice location

19015 S Jodi Rd Ste H
Mokena, IL 60448-8534

Fax (832) 804-8886

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X238000804 (IL)

Surgical Physician Assistant: Definition to come...

23 other providers at this address

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About NPI 1942051248

Jessica Dineen, RSA's National Provider Identifier is 1942051248, issued on Mar 27, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mokena, IL. The record was last updated on Mar 27, 2024.