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Dr. Alex Paul Jessmore, DO
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1023645934

Alex Paul Jessmore is a Student in an Organized Health Care Education/Training Program based in Orangeburg, IL. Alex Paul Jessmore practices in Peoria, IL and has the professional credentials of DO. The NPI Number for Alex Paul Jessmore is 1023645934 and holds a License No. (Illinois).

The current practice location address for Alex Paul Jessmore is 530 N.e. Glen Oak Avenue, Peoria, IL and can be reached out via phone at 309-655-7768.

Location: 530 N.e. Glen Oak Avenue, Peoria, IL, 29118-1871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023645934
Provider Name
Alex Paul Jessmore
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
530 N.e. Glen Oak Avenue, Peoria, IL, 29118-1871
Phone Number
309-655-7768
Fax Number
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 N.e. Glen Oak Avenue
City
Peoria
State
Illinois
Zip
61637
Phone Number
309-655-7768
Fax Number
person
Provider Business Mailing Address Details
Address
530 N.e. Glen Oak Avenue
City
Peoria
State
Illinois
Zip
61637
Phone Number
309-655-7768
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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