Organization
COSMOPOLITAN HEALTH CARE SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY JAKIMIEC M.D. (OWNER)
(847) 590-1500
Entity
Organization
Contact information
Practice address
1655 N. ARLINGTON HEIGHTS RD, SUITE 203E, ARLINGTON HEIGHTS, IL 60004
(847) 590-1500
Mailing address
3328 N. HARLME AVE, CHICAGO, IL 60634
(847) 590-1500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036095319
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095319
—
IL
Enumeration date
12/17/2010
Last updated
01/31/2012
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