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Individual

MR. JEFFREY AUSTIN BELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-1353
Mailing address
1305 W MELROSE ST UNIT 1, CHICAGO, IL 60657-3219
(317) 246-9077

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004337
IL
363A00000X
Physician Assistant
10003478A
IN

Other

Enumeration date
09/11/2012
Last updated
03/31/2022
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