| Harold Jaimes, M.d. P.c | |
|
3153 W Fullerton Ave Chicago IL 60647-2809 | |
| (773) 395-4600 | |
| (773) 395-4633 |
| Full Name | Harold Jaimes, M.d. P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 3153 W Fullerton Ave, Chicago, Illinois |
| Authorized Official Name and Position | Harold Jaimes (PRESIDENT) |
| Authorized Official Contact | 7733954600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold Jaimes, M.d. P.c 3153 W Fullerton Ave Chicago IL 60647-2809 Ph: (773) 395-4600 | Harold Jaimes, M.d. P.c 3153 W Fullerton Ave Chicago IL 60647-2809 Ph: (773) 395-4600 |
| NPI Number | 1295775146 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 09/28/2007 |
| Medicare PECOS PAC ID | 3274595426 |
|---|---|
| Medicare Enrollment ID | O20041029000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295775146 | NPI | - | NPPES |
| 1605620 | Other | IL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Harold H Jaimes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770526279 PECOS PAC ID: 1456313600 Enrollment ID: I20041030000063 |
| Provider Name | Jose F Rivera Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316190028 PECOS PAC ID: 5597935874 Enrollment ID: I20170426001894 |
| Provider Name | Manuel Montes De Oca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548732738 PECOS PAC ID: 2062872534 Enrollment ID: I20230714003109 |
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