Jayaram, Nittor R

Jayaram, Nittor R is an individual health care provider with primary practice located at 15300 West Ave , Orland Park IL 60462-4600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Jayaram, Nittor R can be contacted via phone (708) 403-8400.

Contact Information

Primary practice address
15300 West Ave Orland Park IL 60462-4600
Phone: (708) 403-8400
Fax: (708) 403-8492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036.056518 Illinois

Profile Details

NPI number 1508935222
LBN Legal business name Jayaram, Nittor R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Nov 29th, 2021 - about 5 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 1508935222 NPPES
Illinois Other F400380350 MEDICARE PTAN
Illinois MEDICAID 036056518 MEDICARE PTAN

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