Jessie L Mabaquiao MD
Jessie L Mabaquiao MD provides Psychiatry Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
855 W 103rd St Ste 100Chicago, IL 60643-2357 Not confirmed with CMS for 14 years — call before visiting
Phone: (773) 239-9600
Fax: (773) 239-9601
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 036082232 (IL) |
|---|
Record details
| NPI number | 1437407517 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Ratcliffe — Administrator · (773) 239-9600 |
| NPI enumerated | August 21, 2012 |
| Last updated in NPPES | August 23, 2012 |
| Mailing address | 855 W 103rd St, Suite 100, Chicago, IL 60643-2357 |
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