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1609840735
WALTER M JAY
MAYWOOD, IL
NPI
1609840735
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Former Name
WALTER M JAKUBAS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: IL 36055023)
Enumeration Date
2006-02-15
Last Update Date
2009-09-18
Business Address
-- WALTER M JAY MD
2160 S 1ST AVE (9806 ROBERTS RD., HICKOTY HILLS, IL. 60457)
MAYWOOD, IL 60153
Phone number: 708-233-5333
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Mailing Address
-- WALTER M JAY MD
2160 S 1ST AVE (9806 ROBERTS RD., HICKOTY HILLS, IL. 60457)
MAYWOOD, IL 60153
Phone number: 708-233-5333
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