Organization
ULTIMATE CARE ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMAD JAJEH M.D. (ONCOLOGY & HEMATOLOGY)
(773) 770-6400
Entity
Organization
Contact information
Practice address
5611 W BELMONT AVE, CHICAGO, IL 60634-5302
(773) 770-6400
(773) 385-5375
Mailing address
5611 W BELMONT AVE, CHICAGO, IL 60634-5302
(773) 770-6400
(773) 385-5375
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082665
—
IL
Enumeration date
05/19/2009
Last updated
05/19/2009
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