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JACOB PARK, PA-C
PA-C
Physician Assistant
NPI: 1528463346IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
85-005291(IL)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 1740 W TAYLOR ST RM 724W
CHICAGO, IL 60612 - Phone
- (402) 314-8567
Quick Facts
- NPI
- 1528463346
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 12
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