Escobar, Jaime Ricardo
Escobar, Jaime Ricardo is an individual health care provider with primary practice located at 1111 Superior Street Suite 309, Melrose Park IL 60160-4156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Escobar, Jaime Ricardo can be contacted via phone (708) 343-0420.Contact Information
Primary practice address
1111 Superior Street Suite 309
Melrose Park IL 60160-4156
Phone: (708) 343-0420
Fax: (708) 343-4290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36042797 | Illinois |
Profile Details
| NPI number | 1831227818 |
|---|---|
| LBN Legal business name | Escobar, Jaime Ricardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831227818 | NPPES |
| Illinois | Other | 0021623191 | BC BS |
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