Jeremy J Larva

Physician Assistant

Chicago, IL 60611

Male - 6 Yrs Experience - English

Location

675 N St Clair

Chicago, IL 60611

Phone number

(000) 0000-000

Summary

Jeremy J Larva is a Physician Assistant located at Chicago, IL 60611 and is affiliated with Northwestern Memorial Hospital Hospitals. He received his medical degree from Other and has been in practice for more than 6 years.

Professional Identification

  1. NPI#: 1003021916
  2. PAC ID: 5890068746
  3. Clinician Enrollment ID: I20170829002034
  4. Gender: Male
  5. Enumeration: May 14 2007
  6. Last Updated: August 3 2017

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Other
  3. Graduation year: 2016
  4. Taxonomy: 363A00000X
  5. Specialty: Physician Assistant
  6. All specialties: Physician Assistant

Medical Practice

  1. Organization: Northwestern Medical Faculty Foundation
  2. Group PAC ID: 4587576814
  3. Number of Group Members: 2345
  4. Medicare CCN: 140281
  5. Hospital affiliation: Northwestern Memorial Hospital
  6. Medicare CCN: 140200
  7. Hospital affiliation: Elmhurst Memorial Hospital

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 675 N St Clair, Chicago IL 60611
  2. 660 N Westmoreland Rd, Lake Forest IL 60045 (312) 926-6146
  3. 675 N Saint Clair St, Chicago IL 60611 (312) 695-3800

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