Individual
DR. JILL LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 1350, CHICAGO, IL 60611-2927
(312) 926-4444
Mailing address
676 N SAINT CLAIR ST, STE 1350, CHICAGO, IL 60611-4795
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125059136
IL
Other
Enumeration date
06/17/2011
Last updated
02/15/2016
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