Individual
JARMO J ITKONEN
Active
Individual
JARMO J ITKONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036060989
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060989
—
IL
01
—
290001113A
RR MEDICARE
—
01
—
31601092
BLUE SHIELD
IL
Enumeration date
12/16/2005
Last updated
09/18/2014
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