Individual
DR. JAMIE JILL PACIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-126174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123174
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147254
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/14/2007
Last updated
11/03/2014
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