Dinesh K. Jain

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036-067930 Issued in IL

Legal business name

DINESH K. JAIN

Practice address

16532 Oak Park Ave
Suite 101
Tinley Park, IL 60477-1918

Phone

(708) 429-2220

Fax

(708) 342-1521

NPI assigned

May 24, 2006

Last updated

Nov 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dinesh K Jain, M.D.

Title

Sole Proprietor

Phone

(708) 429-2220

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20135/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Michealene M Redemske, APRN

  • Family Nurse Practitioner
  • Tinley Park, IL
  • NPI 1356480933
  NPD (past)
• Jean Laurel Rush, NP-C

  • Adult Health Nurse Practitioner
  • Fort Stewart, GA
  • NPI 1821093238
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1407801715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604430159",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16532 OAK PARK AVE",
            "address_2": "SUITE 101",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771918",
            "telephone_number": "708-429-2220",
            "fax_number": "708-342-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINESH K. JAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "DINESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "708-429-2220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036-067930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE SHIELD",
            "identifier": "01628096",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Gabriel Diaz
• Melanie V Dickerson
• Loren M Dicristina
• Philip John Digiacomo III, MD
• Dignity and Empowerment Counseling
• Discount Drugs Inc
• Dominique Coffie
• Taylor M Donnelly, BCBA
• Doreen a. Zaborac & Associates, Inc.
• Shani M Douglas, PT, DPT

• Geriatric Medicine (Internal Medicine) Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.