Individual
MS. JAMIE L BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HEALTH CARE DR, GREENVILLE, IL 62246-1154
(618) 664-1230
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 233-6000
(307) 473-1284
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.115626
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121469100
—
WY
Enumeration date
06/22/2006
Last updated
05/10/2019
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