Jeremy Larva, PA-C

NPI #1003021916 in Chicago, Illinois

Provider Information

NPI Number: 1003021916
Entity Type: Individual
Name: Jeremy Larva, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 14, 2007
Last Updated: Aug 3, 2017

Practice Location

Address: 259 E ERIE ST FL 13
City: Chicago
State: Illinois
ZIP Code: 60611-3926
Phone: (312) 695-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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