Baylock, Jaime S

Baylock, Jaime S is an individual health care provider with primary practice located at 19550 Governors Hwy Suite 2000, Flossmoor IL 60422-2125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Baylock, Jaime S can be contacted via phone (708) 957-8750.

Contact Information

Primary practice address
19550 Governors Hwy Suite 2000 Flossmoor IL 60422-2125
Phone: (708) 957-8750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036-128942 Illinois

Profile Details

NPI number 1376774372
LBN Legal business name Baylock, Jaime S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2009
Last updated Jul 9th, 2015 - 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 1376774372 NPPES
Illinois Other 036-128942 STATE LICENSE NUMBER
Illinois Other 125056222 STATE LICENSE NUMBER

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