Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ITISHA JEFFERSON
Active Sole ProprietorITISHA JEFFERSON is a Student Health Clinic healthcare provider located in MAYWOOD, Illinois. NPI 1942172754 is currently active in the NPPES registry. Verify at CMS.
Student Health Clinic · MAYWOOD, IL
Registration Details
- NPI Number
- 1942172754
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2025 (0.92594625877366 yrs)
- Last Updated
- Sep 22, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
2160 S 1ST AVEMAYWOOD, IL, 601533328Browse IL providers · Browse ZIP 60153
- Phone
- 7082169000
- Primary Specialty
-
Student Health Clinic
261QS1000X
Other Student Health Clinic Providers in MAYWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| JASON LEE | — | 1558233353 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.