Individual
DR. JANNETH JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2610 W DIVISION ST, CHICAGO, IL 60622-2850
(773) 227-3232
(773) 227-2898
Mailing address
2610 W DIVISION ST, CHICAGO, IL 60622-2850
(773) 227-3232
(773) 227-2898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036100957
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01626610
BLUE CROSS SHIELD
IL
05
—
036100957
—
IL
Enumeration date
11/01/2006
Last updated
10/03/2012
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