Individual
JAY C SYMOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20201 S. CRAWFORD, OLYMPIA FIELDS, IL 60461
(708) 747-4000
Mailing address
18341 GLADVILLE AVE, HOMEWOOD, IL 60430-3311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02003808A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201025260
—
IN
Enumeration date
02/18/2009
Last updated
11/21/2011
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