ADAM JAMES MAYBERRY

CHICAGO, IL
NPI1902437296
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085007405)
Enumeration Date2020-01-27
Last Update Date2020-01-27
Business Address
ADAM JAMES MAYBERRY PA
1500 S FAIRFIELD AVE
CHICAGO, IL 60608-1782
Phone number: 312-498-6037
Mailing Address
ADAM JAMES MAYBERRY PA
3051 W LYNDALE ST
CHICAGO, IL 60647-2811
Phone number: 312-498-6037
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