# JAIME R ESCOBAR, MD,LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265613962
- **Authorized official:** DR. JAIME R ESCOBAR MD (PRESIDENT)
- **Authorized official phone:** (708) 343-0420

## Contact information

- **Practice address:** 1111 SUPERIOR ST, SUITE 309, MELROSE PARK, IL 60160-4138
- **Practice address phone:** (708) 343-0420
- **Practice address fax:** (708) 343-4290
- **Mailing address:** 1111 SUPERIOR ST, SUITE 309, MELROSE PARK, IL 60160-4138
- **Mailing address phone:** (708) 343-0420
- **Mailing address fax:** (708) 343-4290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | IL | Yes |

## Other

- **Enumeration date:** 11/21/2007
- **Last updated:** 12/13/2007