Individual
DR. JUSTIN PAUL JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24600 W 127TH ST STE 340, PLAINFIELD, IL 60585-9507
(815) 731-9100
(815) 731-9110
Mailing address
24600 W 127TH ST STE 340, PLAINFIELD, IL 60585-9507
(815) 731-9100
(815) 731-9110
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
52152
TN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036140124
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2011
Last updated
06/11/2021
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