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1073189825
MALLACK JABER
CHICAGO, IL
NPI
1073189825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.008201)
Enumeration Date
2021-06-02
Last Update Date
2022-11-01
Business Address
MALLACK JABER PA-C
211 E ONTARIO ST STE 200
CHICAGO, IL 60611-3284
Phone number: 312-694-7000
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Mailing Address
MALLACK JABER PA-C
211 E ONTARIO ST STE 200
CHICAGO, IL 60611-3284
Phone number: 312-694-7000
Copy
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