Individual
MRS. MERCEDES ISABEL JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1585 BARRINGTON RD STE 501, HOFFMAN ESTATES, IL 60169-5020
(847) 490-8900
Mailing address
1585 BARRINGTON RD STE 501, HOFFMAN ESTATES, IL 60169-5020
(847) 490-8900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009854
IL
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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