JACK ENTER JR., PA-C

Physician Assistant

Active Individual
NPI: 1366444184

Practice Address

4211 N CICERO AVE
SUITE 100
Chicago, IL 60641

Phone: (773) 794-1000

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 085-000925 (IL)

Frequently Asked Questions

NPI 1366444184 is the National Provider Identifier for JACK ENTER JR., PA-C, a Physician Assistant provider located in Chicago, IL. This NPI was enumerated on August 11, 2005.
JACK ENTER JR., PA-C practices at 4211 N CICERO AVE, SUITE 100, Chicago, IL 60641.

Quick Facts

NPI
1366444184
Type
Individual
Enumerated
Aug 11, 2005
Last Updated
Oct 17, 2008

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