Individual
JAIME DOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10001 S HOYNE AVE, CHICAGO, IL 60643-2019
(773) 621-0776
Mailing address
10001 S HOYNE AVE, CHICAGO, IL 60643-2019
(773) 621-0776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178010260
IL
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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