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
Phone: (630) 933-6631
Fax: (630) 933-4936
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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