JACK C. ENTER

CHICAGO, IL
NPI1366444184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-000925)
Enumeration Date2005-08-11
Last Update Date2008-10-17
Business Address
-- JACK C. ENTER PA-C
4211 N CICERO AVE SUITE 100
CHICAGO, IL 60641-1651
Phone number: 773-794-1000
Mailing Address
-- JACK C. ENTER PA-C
10100 FOREST HILLS RD
MACHESNEY PARK, IL 61115-8234
Phone number: 815-713-2742
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