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Individual

MATTHEW PETER JAYCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1653 W CONGRESS PKWY, DEPT. OF GRADUATE MEDICAL EDUCATION, CHICAGO, IL 60612-3833
(312) 942-5495
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0336.120950
IL
208VP0000X
Pain Medicine Physician
036120950
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036120950
IL

Other

Enumeration date
07/31/2008
Last updated
11/17/2014
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