Individual
JAIME BELMARES AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 MC CLINTOCK DRIVE, SUITE 201, BURR RIDGE, IL 60527-0872
(888) 220-6432
(630) 654-4253
Mailing address
901 MC CLINTOCK DRIVE, SUITE 202, BURR RIDGE, IL 60527-0872
(888) 220-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036108838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108838
—
IL
Enumeration date
07/12/2006
Last updated
12/21/2021
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