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NPI Code Detail

MEDICARE: JAIME DUROS MS, CF-SLP

MEDICARE: JAIME DUROS MS, CF-SLP
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1215597117
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME DUROS MS, CF-SLP
Provider Business Mailing Address
First Line : 505 N MCCLURG CT APT 3501
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5429
Country : US
Telephone Number : 224-567-9697
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N CLYBOURN AVE UNIT C105
Second Line :
City : CHICAGO
State : IL
Zip : 60610-2295
Country : US
Telephone Number : 312-242-1665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2019
Last Update Date : 06/13/2019

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Directions to “ JAIME DUROS MS, CF-SLP” Practice Location

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