Individual
DR. MASAHITO JIMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF ILLINOIS HOSPITAL, 1740 W. TAYLOR STREET, CHICAGO, IL 60612
(866) 600-2273
Mailing address
1919 W TAYLOR ST, CHICAGO, IL 60612-7246
(312) 413-8784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036156220
IL
Other
Enumeration date
10/10/2006
Last updated
04/20/2021
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