Organization
JAY POMERANCE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY FORREST POMERANCE M.D (DOCTOR)
(847) 871-5770
Entity
Organization
Contact information
Practice address
657 E GOLF RD, SUITE 309, ARLINGTON HEIGHTS, IL 60005-4968
(847) 871-5770
(847) 871-5773
Mailing address
657 E GOLF RD, SUITE 309, ARLINGTON HEIGHTS, IL 60005-4968
(847) 871-5770
(847) 871-5773
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209292
MEDICARE PROVIDER NUMBER
IL
Enumeration date
10/10/2007
Last updated
06/24/2010
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