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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOR JALECO, PHYSICIAN ASSISTANT

Active

THOR JALECO, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in CHICAGO, Illinois. NPI 1659161636 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHICAGO, IL

Registration Details

NPI Number
1659161636
Provider Type
Individual
Gender
Male
NPI Issued
May 12, 2025 (1.2196654411549 yrs)
Last Updated
May 12, 2025
License
085.011190 (IL)

Practice Information

Address
4025 N SHERIDAN RD
CHICAGO, IL, 606132010
Browse IL providers · Browse ZIP 60613
Phone
7733881600
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CHICAGO, IL

Name Credential NPI
MRS. CHANDRIKA SHAH PA 1114928884
JACK C. ENTER JR. PA-C 1366444184
CASEY ANN MORAN PA-C 1740277441
MS. SHANNON J HOBBS PA-C 1902893043
MS. HONG HOLLY ZHANG PA-C 1609863620
JENNIFER A CENTORE-LOBER PA C 1932198322
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.