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Jack Enter, PA-C
NPI 1366444184 · on the registry since 2005
Practice
- Address
- 4211 N Cicero Ave
Suite 100
Chicago, IL 60641 - Phone
- (773) 794-1000
- Fax
- (773) 794-9986
- Organisation at this address
- Kiran P Amin Mdsc
Sonia Shah M D S C
Chandra B Rathod Mdsc
Bone And Joint Center Pc
Illinois Medical Group ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois