Individual
DR. JESSE MABAQUIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
333 S STATE STREET, REVENUE #200 CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL 60604
(312) 747-9442
(312) 747-9447
Mailing address
333 S STATE STREET, REVENUE #200 CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL 60604
(312) 747-9443
(312) 747-9447
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
02/21/2006
Last updated
10/22/2007
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