Individual
MS. JACQUELINE HAIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1718 SHERMAN AVENUE, #210, EVANSTON, IL 60201
(847) 328-4000
(847) 328-4953
Mailing address
1718 SHERMAN AVENUE, #210, EVANSTON, IL 60201
(847) 328-4000
(847) 328-4953
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633883
BCBS PPO
IL
Enumeration date
10/05/2006
Last updated
07/08/2007
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