Search › Illinois › 225100000X
Jamie Stark
NPI 1831923754 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1630 N Humboldt Blvd
Chicago, IL 60647 - Phone
- (773) 721-7668
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Sex
- Male
- Record last updated
- 2024-09-02
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