Organization
JAY R NEWMARK M D S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY NEWMARK MD (SOLE PROPRIETOR)
(773) 929-2386
Entity
Organization
Contact information
Practice address
2800 N SHERIDAN RD, #302, CHICAGO, IL 60657-6156
(773) 929-2386
(773) 929-8739
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01604990
BCBS PROVIDER ID
IL
01
—
631004
ADVOCATE HLTH PARTNERS ID
IL
01
—
CF2037
RAILROAD MEDICARE
IL
Enumeration date
11/20/2006
Last updated
04/20/2008
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