Provider Demographics
NPI:1831477843
Name:PLACEK, JILL ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:ELIZABETH
Last Name:PLACEK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:675 W CENTRAL RD
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2376
Mailing Address - Country:US
Mailing Address - Phone:773-372-4082
Mailing Address - Fax:
Practice Address - Street 1:675 W CENTRAL RD
Practice Address - Street 2:SUITE 100A
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2376
Practice Address - Country:US
Practice Address - Phone:847-392-9191
Practice Address - Fax:847-392-9811
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2016-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL125060073207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics