Individual
SUSAN R JAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
360 W BUTTERFIELD RD, #160, ELMHURST, IL 60126-5068
(630) 782-9600
(630) 782-1643
Mailing address
2447 MOMENTUM PL, #160, CHICAGO, IL 60689-6068
(847) 519-4701
(847) 519-4707
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-005057
IL
Other
Enumeration date
11/17/2014
Last updated
09/09/2016
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