Individual
JEREMIAH JOHN COMBS LOCQUIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W COURT ST, KANKAKEE, IL 60901-3691
(815) 937-2100
Mailing address
1020 SANSOM ST STE 1651B, PHILADELPHIA, PA 19107-5002
(215) 955-9837
(215) 955-9870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036159040
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
09/02/2022
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