Provider Demographics
NPI:1053932673
Name:JAIN PEDIATRICS LLC
Entity type:Organization
Organization Name:JAIN PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RENU
Authorized Official - Middle Name:
Authorized Official - Last Name:JAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-530-2224
Mailing Address - Street 1:33 N ADDISON RD STE 106
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-3843
Mailing Address - Country:US
Mailing Address - Phone:630-530-2224
Mailing Address - Fax:630-530-2267
Practice Address - Street 1:33 N ADDISON RD STE 106
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-3843
Practice Address - Country:US
Practice Address - Phone:630-530-2224
Practice Address - Fax:630-530-2267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty