Individual
DR. JAIME S BAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19550 GOVERNORS HWY, SUITE 2000, FLOSSMOOR, IL 60422-2125
(708) 957-8750
Mailing address
19550 GOVERNORS HWY, SUITE 2000, FLOSSMOOR, IL 60422-2125
(708) 957-8750
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036-128942
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-128942
STATE LICENSE NUMBER
IL
01
—
125056222
STATE LICENSE NUMBER
IL
Enumeration date
08/07/2009
Last updated
07/09/2015
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