Provider Demographics
NPI:1861682965
Name:JARRETT, OLAMIDE D (MD)
Entity Type:Individual
Prefix:
First Name:OLAMIDE
Middle Name:D
Last Name:JARRETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 S WOOD ST RM 888
Mailing Address - Street 2:UIC SECTION OF INFECTIOUS DISEASES (M/C 735)
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-7300
Mailing Address - Country:US
Mailing Address - Phone:312-996-6732
Mailing Address - Fax:312-413-1657
Practice Address - Street 1:808 S WOOD ST RM 888
Practice Address - Street 2:UIC SECTION OF INFECTIOUS DISEASES (M/C 735)
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-7300
Practice Address - Country:US
Practice Address - Phone:312-996-6732
Practice Address - Fax:312-413-1657
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231159207RI0200X
IL036112007207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease