Nittor R. Jayaram Md Ltd

LBN: Nittor R. Jayaram Md Ltd
Nittor R. Jayaram Md Ltd is an health care organization with primary practice located at 17031 Harlem Ave , Tinley Park IL 60477-2739. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Nittor R. Jayaram Md Ltd can be contacted via phone (708) 532-4200, or through Jayaram, Nittor R via phone (708) 532-4200.

Contact Information

Primary practice address
17031 Harlem Ave Tinley Park IL 60477-2739
Fax: (708) 532-9465
Website:
Authorized official contact:
Name: Jayaram, Nittor R Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036056518 Illinois

Profile Details

NPI number 1356641120
LBN Legal business name Nittor R. Jayaram Md Ltd
DBA Doing business as
Authorized official Jayaram, Nittor R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2010
Last updated Oct 27th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356641120 NPPES
Illinois MEDICAID 0360565918

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