Individual
FREDDY JACOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 S WOOD ST, CHICAGO, IL 60612-7302
(312) 996-5636
Mailing address
808 S WOOD ST, CHICAGO, IL 60612-7302
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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