Organization · NPI-2

A M Jabr Sc

Family Medicine · Chicago, IL

NPI number1245317536
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1245317536
Entity type
Organization (NPI-2)
Legal business name
A M Jabr Sc
Organization subpart
No
Enumeration date
Nov 1, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036110045ILYes

Practice location

2222 W Division St
Suite 260
Chicago, IL 60622-2717

Phone 773-227-3770 · Fax 773-486-5224

Mailing address

2222 W Division St
Suite 260
Chicago, IL 60622-2717

Phone 773-227-3770 · Fax 773-486-5224

Authorized official

Ayman Jabr
President
7732273770

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