Individual
DR. EBBY P. JIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
519 N CASS AVE, WESTMONT, IL 60559-1514
(630) 470-6210
Mailing address
905 SOUTHRIDGE TER, NORTHFIELD, IL 60093-1023
(847) 769-7095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036096238
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036096238
IL
208VP0000X
Pain Medicine Physician
036096238
IL
208VP0014X
Interventional Pain Medicine Physician
036096238
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096238
—
IL
Enumeration date
11/08/2006
Last updated
05/13/2024
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