Provider Demographics
NPI:1316028657
Name:JAIN, NEERAJ (MD)
Entity Type:Individual
Prefix:DR
First Name:NEERAJ
Middle Name:
Last Name:JAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:908 N ELM ST
Mailing Address - Street 2:109
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3635
Mailing Address - Country:US
Mailing Address - Phone:630-794-9999
Mailing Address - Fax:630-590-6615
Practice Address - Street 1:908 N ELM ST
Practice Address - Street 2:SUITE 109
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3635
Practice Address - Country:US
Practice Address - Phone:630-794-9999
Practice Address - Fax:630-794-9998
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2013-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036082067207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF33768Medicare UPIN