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Organization
A M JABR MD SC
Active
Organization
A M JABR MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYMAN JABR MD SC (OWNER)
(773) 227-3770
Entity
Organization
Contact information
Practice address
2222 W DIVISION ST STE 260, CHICAGO, IL 60622-2990
(773) 227-3770
(773) 227-9737
Mailing address
PO BOX 724, ORLAND PARK, IL 60462-0724
(708) 364-7666
(866) 596-1007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036110045
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634771
BLUE CROSS
IL
05
—
036110045
—
IL
Enumeration date
08/08/2007
Last updated
04/12/2012
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