Organization
JANE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL PELLETIER (OPERATIONS MANAGER)
(405) 873-7212
Entity
Organization
Contact information
Practice address
1449 S MICHIGAN AVE STE 13006, CHICAGO, IL 60605-2810
(405) 873-7212
Mailing address
2578 BROADWAY # 580, NEW YORK, NY 10025-5642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
10/23/2024
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