Wabich, Jamie Brenna
Wabich, Jamie Brenna is an individual health care provider with primary practice located at 800 N Westmoreland Rd Ste 100 , Lake Forest IL 60045-1671. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Wabich, Jamie Brenna can be contacted via phone (847) 535-6083.Contact Information
Primary practice address
800 N Westmoreland Rd Ste 100
Lake Forest IL 60045-1671
Phone: (847) 535-6083
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036138232 | Illinois |
Profile Details
| NPI number | 1427324425 |
|---|---|
| LBN Legal business name | Wabich, Jamie Brenna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2012 |
| Last updated | Apr 19th, 2018 - about 6 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 | 1427324425 | NPPES |
| Illinois | Other | 036138232 | ILLINOIS PERMANENT LICENSE |
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