Organization Active NPI

Renu Jain MD

  • Specialist
  • Addison, IL
National Provider Identifier
1093835621
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RENU JAIN MD
Practice address
33 N Addison Rd
Suite 106
Addison, IL 60101-3875
Phone
(630) 530-2224
Fax
(630) 530-2267
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Renu Jain, M.D.NPI 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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

33 N Addison Rd
Suite 106
Addison, IL 60101-3875

Mailing address

33 N Addison Rd
Suite 106
Addison, IL 60101-3875
Phone (630) 530-2224

National Provider Directory

National Provider Directory

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093835621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N ADDISON RD",
            "address_2": "SUITE 106",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013875",
            "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",
            "address_2": "SUITE 106",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013875",
            "telephone_number": "630-530-2224",
            "fax_number": "630-530-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU JAIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "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": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "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 Aug 22, 2020; 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.