Jetanalin, Pim

Jetanalin, Pim is an individual health care provider with primary practice located at 1801 W Taylor St , Chicago IL 60612-4795. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Jetanalin, Pim can be contacted via phone (312) 413-9310.

Contact Information

Primary practice address
1801 W Taylor St Chicago IL 60612-4795
Phone: (312) 413-9310
Fax: (816) 404-5014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 2012006518 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 036153543 Illinois

Profile Details

NPI number 1871785667
LBN Legal business name Jetanalin, Pim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Jun 17th, 2022 - about 3 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.

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