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1508055112
MARK E JASPER
CHICAGO, IL
NPI
1508055112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 1499332)
Enumeration Date
2007-10-18
Last Update Date
2008-10-21
Business Address
-- MARK E JASPER np
5841 S MARYLAND AVE
CHICAGO, IL 60637-1447
Phone number: 773-702-1000
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Mailing Address
-- MARK E JASPER np
728 W JACKSON BLVD UNIT 610
CHICAGO, IL 60661-5490
Phone number:
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