Wilfrid Jean-Jacques, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

036056671 Issued in IL

Practice address

2315 E 93Rd St
Suite 426
Chicago, IL 60617-3936

Phone

(773) 731-0890

Fax

(773) 731-0889

NPI assigned

May 9, 2006

Last updated

May 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1174572911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3312",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603033312",
            "telephone_number": "773-731-0890",
            "fax_number": "773-731-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "SUITE 426",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-731-0890",
            "fax_number": "773-731-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-JACQUES",
        "first_name": "WILFRID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036056671",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036056671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amyola Jean Baptiste
• Anne Laurie Jean Jacques
• Jean Lee MD SC
• Athalie Jean-Baptiste
• Muriel Jean-Jacques, M.D.
• Diana Jean-Louis, LCSW, M.J.
• Loudjine Jean-Michel
• Daniel Jean, M.A
• Jeannine Harris Counseling Services, LLC (Positive Solutions Counseling Service)
• Kendra Jeans

• Infectious Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.