Individual
JERRY JAKIMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3336 N HARLEM AVE, CHICAGO, IL 60634
(773) 836-4520
(773) 836-4512
Mailing address
6547 N AVONDALE, #001, CHICAGO, IL 60631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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