Individual
ADOLFO ARIEL JAITOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 W HARRISON ST, CHICAGO, IL 60612-3736
(312) 864-7229
Mailing address
1400 N LAKE SHORE DR APT 11C, CHICAGO, IL 60610-6637
(312) 933-8965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125053465
IL
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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