MEDICARE: WILFRID JEAN-JACQUES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036056671	IL
2	207RI0200X	Infectious Disease Physician	036056671	IL

General Provider Information

NPI Number	:	1174572911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILFRID JEAN-JACQUES MD

Provider Business Mailing Address
First Line	:	PO BOX 3312
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60303-3312
Country	:	US
Telephone Number	:	773-731-0890
Fax Number	:	773-731-0889

Provider Business Practice Location Address
First Line	:	2315 E 93RD ST
Second Line	:	SUITE 426
City	:	CHICAGO
State	:	IL
Zip	:	60617-3936
Country	:	US
Telephone Number	:	773-731-0890
Fax Number	:	773-731-0889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	05/13/2015

Similar Medicare Providers

1306899372 — ROCHELLE L HAWKINS MD
Practice Location Address:

2315 E 93RD ST , STE.441
CHICAGO, IL
60617-3936

Practice Phone: 773-374-3200
Practice Fax: 773-374-3819

1922046358 — NELCAR GADRINAB MD
Practice Location Address:

2315 E 93RD ST , SUITE 416
CHICAGO, IL
60617-3936

Practice Phone: 773-768-5770
Practice Fax: 773-768-0702

1215968987 — DR. GREGORIO RAPOSAS AGLIPAY M.D.
Practice Location Address:

2315 E 93RD ST , SUITE 338
CHICAGO, IL
60617-3936

Practice Phone: 773-734-2920
Practice Fax: 773-734-1200

1992720668 — NASRULLAH M. BASHA, MD, LTD
Practice Location Address:

2315 E 93RD ST , STE 222
CHICAGO, IL
60617-3936

Practice Phone: 773-734-4242
Practice Fax: 773-734-1448

1053338798 — HARVEY DEBOFSKY MD, LTD
Practice Location Address:

2315 E 93RD ST , SUITE 200
CHICAGO, IL
60617-3936

Practice Phone: 773-734-3970
Practice Fax: 773-734-6832

1164436275 — DR. DIANE H SCHAAR M.D.
Practice Location Address:

2315 E 93RD ST , ROOM 200
CHICAGO, IL
60617-3936

Practice Phone: 773-734-3970
Practice Fax: 773-734-6832

Directions to “ WILFRID JEAN-JACQUES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.