Active NPI
Jain Pediatrics LLC
- Pediatrics Physician
- Addison, IL
National Provider Identifier
1053932673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- JAIN PEDIATRICS LLC
- Practice address
- 33 N Addison Rd Ste 106
Addison, IL 60101-3843 - Phone
- (630) 530-2224
- Fax
- (630) 530-2267
- NPI assigned
- May 5, 2020
- Last updated
- Jul 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Renu Jain, MD
- Title
- Director
- Phone
- (630) 530-2224
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
33 N Addison Rd Ste 106
Addison, IL 60101-3843
Mailing address
33 N Addison Rd Ste 106
Addison, IL 60101-3843
Phone (630) 530-2224
National Provider Directory
National Provider DirectoryLocations
33 N Addison Rd
Ste 106
Addison, IL 60101
Phone (630) 530-2224
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Addison, IL
- NPI 1619079977
-
- General Practice Dentistry
- Addison, IL
- NPI 1245331602
-
- Dentist
- Addison, IL
- NPI 1861654337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690329600000",
"number": "1053932673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 N ADDISON RD STE 106",
"city": "ADDISON",
"state": "IL",
"postal_code": "601013843",
"telephone_number": "630-530-2224",
"fax_number": "630-530-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 N ADDISON RD STE 106",
"city": "ADDISON",
"state": "IL",
"postal_code": "601013843",
"telephone_number": "630-530-2224",
"fax_number": "630-530-2267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAIN PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-05",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "RENU",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "630-530-2224",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.