IndividualActive
Jessica Gubala
NPI 1720962202 · Pediatric Registered Nurse · Chicago, IL
Provider details
- NPI number
- 1720962202
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041520238 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
607 W Wellington Ave Apt 2c
Chicago, IL 60657-7401
Phone: (773) 330-7861
Approximate (ZIP-level) locationGet directions
Mailing address
607 W Wellington Ave Apt 2c
Chicago, IL 60657-7401
Registry dates
- Enumerated
- 2025-08-05
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.