Thekkekara, Jaison J
Thekkekara, Jaison J is an individual health care provider with primary practice located at 329 Remington Blvd Ste 205 , Bolingbrook IL 60440-5817. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Thekkekara, Jaison J can be contacted via phone (630) 226-1130.Contact Information
Primary practice address
329 Remington Blvd Ste 205
Bolingbrook IL 60440-5817
Phone: (630) 226-1130
Fax: (630) 226-1134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 336.112625 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036152336 | Illinois |
Profile Details
| NPI number | 1588015416 |
|---|---|
| LBN Legal business name | Thekkekara, Jaison J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2016 |
| Last updated | Nov 8th, 2023 - about 2 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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