Individual
JURA M ADAMS-BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3405 N. KENNICOTT AVENUE, SUITE C, ARLINGTON HEIGHTS, IL 60004
(847) 483-0303
(847) 483-0305
Mailing address
410 W. WISCONSIN STREET, UNIT F, CHICAGO, IL 60614
(312) 440-8853
(312) 440-8863
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036064574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064
—
IL
01
—
31603305
BLUE SHIELD
IL
Enumeration date
06/27/2006
Last updated
06/07/2012
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