Organization Active NPI

Jain Pediatrics LLC

  • Pediatrics Physician
  • Addison, IL
National Provider Identifier
1053932673
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Renu Jain, MDNPI 1619079977
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.