| Jessie L Mabaquiao Md | |
|
855 W 103rd St Suite 100 Chicago IL 60643-2357 | |
| (773) 239-9600 | |
| (773) 239-9601 |
| Full Name | Jessie L Mabaquiao Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 855 W 103rd St, Chicago, Illinois |
| Authorized Official Name and Position | Angela J Ratcliffe (ADMINISTRATOR) |
| Authorized Official Contact | 7732399600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie L Mabaquiao Md 855 W 103rd St Suite 100 Chicago IL 60643-2357 Ph: (773) 239-9600 | Jessie L Mabaquiao Md 855 W 103rd St Suite 100 Chicago IL 60643-2357 Ph: (773) 239-9600 |
| NPI Number | 1437407517 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437407517 | NPI | - | NPPES |
| 036082232 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036082232 (Illinois) | Primary |
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Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
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The Thresholds Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
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