Individual
WILFRID JEAN-JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 E 93RD ST, SUITE 426, CHICAGO, IL 60617-3936
(773) 731-0890
(773) 731-0889
Mailing address
PO BOX 3312, OAK PARK, IL 60303-3312
(773) 731-0890
(773) 731-0889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036056671
IL
207RI0200X
Infectious Disease Physician
Primary
036056671
IL
Other
Enumeration date
05/09/2006
Last updated
05/13/2015
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