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Individual

DR. JENNIFER LEE KASSIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
430 WARRENVILLE RD, STE 210, LISLE, IL 60532-1348
(630) 432-6180
(630) 432-6181
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.120590
IL
208M00000X
Hospitalist Physician
036120590
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036120590
IL
Enumeration date
08/07/2008
Last updated
06/15/2022
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