Jain, Kishor Nathmal
Jain, Kishor Nathmal is an individual health care provider with primary practice located at 222 Colorado Avenue , Frankfort IL 60423-1334. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Jain, Kishor Nathmal can be contacted via phone (815) 469-2123.Contact Information
Primary practice address
222 Colorado Avenue
Frankfort IL 60423-1334
Phone: (815) 469-2123
Fax: (815) 469-2149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois | |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Illinois |
Profile Details
| NPI number | 1568537355 |
|---|---|
| LBN Legal business name | Jain, Kishor Nathmal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568537355 | NPPES |
| Other | 649420 | MEDICARE PROV NUMBER | |
| Other | 09915014 | MEDICARE PROV NUMBER |
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