Provider Demographics
NPI:1700934957
Name:NEUMAN, JAIME L (MD)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:L
Last Name:NEUMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9424 NORMANDY AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-1335
Mailing Address - Country:US
Mailing Address - Phone:847-470-0493
Mailing Address - Fax:
Practice Address - Street 1:3929 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-3072
Practice Address - Country:US
Practice Address - Phone:773-220-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-038317207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL76356Medicare ID - Type UnspecifiedMEDICARE SUBMITER ID
ILD89352Medicare UPIN