Individual
MARK E JASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1000
Mailing address
728 W JACKSON BLVD, UNIT 610, CHICAGO, IL 60661-5490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1499332
IL
Other
Enumeration date
10/18/2007
Last updated
10/21/2008
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