Individual
HAROLD JAIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3153 W FULLERTON AVE, CHICAGO, IL 60647-2809
(773) 395-4600
(773) 395-4633
Mailing address
3153 W FULLERTON AVE, CHICAGO, IL 60647-2809
(773) 395-4600
(773) 395-4633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036088816
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088816
—
IL
01
—
110141147
RAILROAD MEDICARE
IL
01
—
1605620
BLUE SHIELD
IL
Enumeration date
06/13/2006
Last updated
10/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us