Active NPI
Madhu B Jain, MD
- Allergy Physician
- Woodridge, IL
National Provider Identifier
1003924796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 036061831
- Practice address
- 7530 S Woodward Ave Ste a
Woodridge Clinic S.C.
Woodridge, IL 60517-3100 - Phone
- (630) 910-1177
- Fax
- (630) 910-1177
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 036061831 | IL | Primary |
Addresses
Primary practice location
7530 S Woodward Ave Ste a
Woodridge Clinic S.C.
Woodridge, IL 60517-3100
Mailing address
7530 S Woodward Ave Ste a
Woodridge Clinic S.C.
Woodridge, IL 60517-3100
Phone (630) 910-1177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036061831 | IL | MD | Allergy Physician |
Interoperability endpoints
- mjain251801@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1003924796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7530 S WOODWARD AVE STE A",
"address_2": "WOODRIDGE CLINIC S.C.",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605173100",
"telephone_number": "630-910-1177",
"fax_number": "630-910-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7530 S WOODWARD AVE STE A",
"address_2": "WOODRIDGE CLINIC S.C.",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605173100",
"telephone_number": "630-910-1177",
"fax_number": "630-910-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "MADHU",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "IL",
"license": "036061831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.