Organization Active NPI

JNN Internal Medicine, SC

  • Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1790950665
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
036108897 Issued in IL
Legal business name
JNN INTERNAL MEDICINE, SC
Practice address
1703 Lunt Ave
Des Plaines, IL 60018-3838
Phone
(224) 522-9945
Fax
(847) 316-4322
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Sunitha Nair, MD
Title
President
Phone
(224) 522-9945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 036108897 IL Primary

Addresses

Primary practice location

1703 Lunt Ave
Des Plaines, IL 60018-3838

Mailing address

1703 Lunt Ave
Des Plaines, IL 60018-3838
Phone (224) 522-9945

National Provider Directory

National Provider Directory

Locations

800 Austin St
Ste 605W
Evanston, IL 60202
Phone (847) 332-1066

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1790950665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 LUNT AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600183838",
            "telephone_number": "224-522-9945",
            "fax_number": "847-316-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LUNT AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600183838",
            "telephone_number": "224-522-9945",
            "fax_number": "847-316-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNN INTERNAL MEDICINE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "SUNITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-522-9945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036108897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.