Individual
DR. JAMIE MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1645 W JACKSON BLVD STE 200, CHICAGO, IL 60612-3227
(312) 942-2200
Mailing address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125084785
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2023
Last updated
07/10/2024
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