Individual
DR. JASON KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7500
Mailing address
1625 E 75TH ST FL 1, CHICAGO, IL 60649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125071427
IL
Other
Enumeration date
06/21/2017
Last updated
01/14/2020
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