Indira D Nair MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INDIRA D NAIR MD SC

Practice address

8565 W Dempster St
Suit # 105
Niles, IL 60714

Phone

(847) 518-9393

Fax

(847) 518-9395

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Indira Devi Nair, MD

Title

President of Coorporation

Phone

(847) 518-9393

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730382995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 W DEMPSTER ST",
            "address_2": "SUIT # 105",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-518-9393",
            "fax_number": "847-518-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 W DEMPSTER ST",
            "address_2": "SUIT # 105",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-518-9393",
            "fax_number": "847-518-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIRA D NAIR MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_middle_name": "DEVI",
        "authorized_official_title_or_position": "PRESIDENT OF COORPORATION",
        "authorized_official_telephone_number": "847-518-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1306880455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.