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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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