NPIMap

Organization Active NPI

Jalal Rais Dana MD LTD

  • Pediatrics Physician
  • Niles, IL
National Provider Identifier
1376743609
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36090842 Issued in IL
Legal business name
JALAL RAIS DANA MD LTD
Practice address
8780 W Golf Rd
Suite 203
Niles, IL 60714
Phone
(847) 296-6706
Fax
(847) 759-1679
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Mr. Jalal Rais Dana, MDNPI 1952414708
Title
Pediatrician President
Phone
(847) 296-6706

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: 193200000X MULTI-SPECIALTY GROUP 208000000X 36090842 IL Primary

Addresses

Primary practice location

8780 W Golf Rd
Suite 203
Niles, IL 60714

Mailing address

8780 W Golf Rd
Suite 203
Niles, IL 60714
Phone (847) 296-6706

National Provider Directory

National Provider Directory

Locations

8780 W Golf Rd
Ste 203
Niles, IL 60714
Phone (847) 296-5200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1376743609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 W GOLF RD",
            "address_2": "SUITE 203",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-296-6706",
            "fax_number": "847-759-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 W GOLF RD",
            "address_2": "SUITE 203",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-296-6706",
            "fax_number": "847-759-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALAL RAIS DANA MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "RAIS DANA",
        "authorized_official_first_name": "JALAL",
        "authorized_official_title_or_position": "PEDIATRICIAN PRESIDENT",
        "authorized_official_telephone_number": "847-296-6706",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "36090842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.