Individual
JINO BIJU JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-4235
(312) 996-4235
Mailing address
8123 W OAK AVE, NILES, IL 60714-1722
(224) 628-9305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.015163
IL
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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