Individual
JAMIE HITRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
121 W NORTH AVE, CHICAGO, IL 60610
(312) 643-5606
Mailing address
1700 E HIGGINS RD STE 600, DES PLAINES, IL 60018-5621
(847) 653-0130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006622
IL
Other
Enumeration date
07/24/2018
Last updated
05/07/2021
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