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Individual

DR. JARED TYLER AHRENDSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD/PHD

Contact information

Practice address
710 N FAIRBANKS CT STE 2-454, CHICAGO, IL 60611-3013
(312) 926-3211
(312) 694-1128
Mailing address
710 N FAIRBANKS CT STE 2-454, CHICAGO, IL 60611-3013
(312) 926-3211
(312) 694-1128

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036159617
IL

Other

Enumeration date
04/13/2017
Last updated
09/06/2022
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