Pacis, Jamie Jill

Pacis, Jamie Jill is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Pacis, Jamie Jill can be contacted via phone (630) 933-6631.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Fax: (630) 933-4936
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-126174 Illinois

Profile Details

NPI number 1104020866
LBN Legal business name Pacis, Jamie Jill
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Nov 3rd, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104020866 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other 206147254 MEDICARE PTAN (GROUP)
Illinois MEDICAID 036123174 MEDICARE PTAN (GROUP)

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