Individual
JAY R NEWMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 N SHERIDAN RD, SUITE 302, CHICAGO, IL 60657-6156
(773) 929-2386
(773) 929-8739
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01604990
BCBS PROVIDER ID
IL
01
—
36270304101
ADVOCATE HLTH CENTERS ID
IL
01
—
631004
ADVOCATE HLTH PARTNERS ID
IL
Enumeration date
09/15/2005
Last updated
01/15/2008
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