Individual
JAMIE HODGE SCHUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3665 N BROADWAY ST, CHICAGO, IL 60613-4567
(773) 496-4433
Mailing address
2151 W DIVISION ST # 202E, CHICAGO, IL 60622-3056
(630) 642-0312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006880
IL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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