Provider Demographics
NPI:1497980452
Name:PATRICK, JILMA (MD)
Entity Type:Individual
Prefix:DR
First Name:JILMA
Middle Name:
Last Name:PATRICK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:250 E SUPERIOR ST STE 4-420
Mailing Address - Street 2:LYNN SAGE COMPREHENSIVE BREAST CENTER
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2914
Mailing Address - Country:US
Mailing Address - Phone:312-472-4779
Mailing Address - Fax:312-472-4565
Practice Address - Street 1:250 E SUPERIOR ST STE 4-420
Practice Address - Street 2:LYNN SAGE COMPREHENSIVE BREAST CENTER
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2914
Practice Address - Country:US
Practice Address - Phone:312-472-4779
Practice Address - Fax:312-472-4565
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2014-08-04
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Provider Licenses
StateLicense IDTaxonomies
IL036.135714208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery