Organization
HAROLD JAIMES, M.D., S.C.
Active
Parent organization
HAROLD JAIMES, M.D.,S.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAROLD JAIMES, M.D.,S.C.
Authorized official
HAROLD JAIMES M.D. (PRESIDENT)
(773) 395-4600
Entity
Organization
Contact information
Practice address
3800 HIGHLAND AVE, SUITE 111, DOWNERS GROVE, IL 60515-1557
(630) 719-4444
Mailing address
3153 W FULLERTON AVE, CHICAGO, IL 60647-2809
(773) 395-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1605620
BLUE SHIELD
IL
Enumeration date
09/28/2007
Last updated
09/28/2007
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