Organization
ELGIN PHYSICAL MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE M JAO MD (PRESIDENT)
(312) 961-6611
Entity
Organization
Contact information
Practice address
609 DUNDEE AVE, ELGIN, IL 60120-3820
(773) 278-9525
(773) 337-9135
Mailing address
PO BOX 4782, CHICAGO, IL 60680-4782
(773) 278-9525
(773) 337-9135
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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