JACOB JONATHAN WHITE

CHICAGO, IL
NPI1265818884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085005589)
Enumeration Date2015-08-05
Last Update Date2015-08-05
Business Address
Mr. JACOB JONATHAN WHITE PA
5645 W ADDISON ST
CHICAGO, IL 60634-4403
Phone number: 773-282-7000
Mailing Address
Mr. JACOB JONATHAN WHITE PA
5645 W ADDISON ST
CHICAGO, IL 60634-4403
Phone number:
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