Individual
JAMIE LANE CLABBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-2000
Mailing address
2246 N WESTERN AVE UNIT 4, CHICAGO, IL 60647-2465
(508) 314-2114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008325
IL
363A00000X
Physician Assistant
PA5436
MA
Other
Enumeration date
08/19/2015
Last updated
10/20/2021
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