Jain, Pankaj

Jain, Pankaj is an individual health care provider with primary practice located at 3800 W 203Rd St Suite 202, Olympia Fields IL 60461-1184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Jain, Pankaj can be contacted via phone (708) 679-2660.

Contact Information

Primary practice address
3800 W 203Rd St Suite 202 Olympia Fields IL 60461-1184
Phone: (708) 679-2660
Fax: (708) 503-3861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 39423 Kentucky
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036121222 Illinois

Profile Details

NPI number 1215996301
LBN Legal business name Jain, Pankaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Aug 29th, 2013 - about 13 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 1215996301 NPPES
Illinois Other P00723355 RAIL ROAD MEDICARE
Illinois Other 05-0540914 RAIL ROAD MEDICARE
Illinois Other 000000365405 RAIL ROAD MEDICARE
Illinois MEDICAID 64100852 RAIL ROAD MEDICARE
Illinois MEDICAID 036121222 RAIL ROAD MEDICARE
Illinois Other P00256659 RAIL ROAD MEDICARE

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