Jain, Shishir

Jain, Shishir is an individual health care provider with primary practice located at 5909 W 35Th St , Cicero IL 60804-4163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jain, Shishir can be contacted via phone (708) 652-2040.

Contact Information

Primary practice address
5909 W 35Th St Cicero IL 60804-4163
Phone: (708) 652-2040
Fax: (708) 652-0058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3698420 Illinois

Profile Details

NPI number 1811085822
LBN Legal business name Jain, Shishir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jun 19th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811085822 NPPES
Illinois Other 110202292 RR MEDICARE PIN
Illinois Other 667 RR MEDICARE PIN
Illinois Other 277392 RR MEDICARE PIN
Illinois Other 3698420 RR MEDICARE PIN
Illinois Other 003698420 RR MEDICARE PIN
Illinois MEDICAID 036098420 RR MEDICARE PIN

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