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Individual
DR. JEAN AMANDA JUNIOR
Active
Individual
DR. JEAN AMANDA JUNIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPHIL
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.163987
IL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
036.163987
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.163987
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
03/31/2016
Last updated
07/01/2023
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