Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | IL |
NPI | 1003857103 |
---|---|
Provider Name | Dinesh Jain |
First Address | Naperville, IL 60540-0954 |
Second Address | Naperville, IL 60540-0954 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 14/02/2008 |