Active NPI
Jai D Arya MD SC
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1801994009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JAI D ARYA MD SC
- Practice address
- 67 W 111TH St Ste 301
Chicago, IL 60628-4247 - Phone
- (773) 995-3405
- Fax
- (773) 995-3408
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jai Dev Arya, M.D.
- Title
- President
- Phone
- (773) 995-3405
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | IL | ||
| Family Medicine Physician | 207Q00000X | IL | Primary | |
| Internal Medicine Physician | 207R00000X | IL |
Addresses
Primary practice location
67 W 111TH St Ste 301
Chicago, IL 60628-4247
Mailing address
67 W 111TH St
Suite 301
Chicago, IL 60628-4247
Phone (773) 995-3408
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190419200000",
"number": "1801994009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 W 111TH ST",
"address_2": "SUITE 301",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606284247",
"telephone_number": "773-995-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 W 111TH ST STE 301",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606284247",
"telephone_number": "773-995-3405",
"fax_number": "773-995-3408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAI D ARYA MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2007-09-22",
"status": "A",
"authorized_official_last_name": "ARYA",
"authorized_official_first_name": "JAI",
"authorized_official_middle_name": "DEV",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-995-3405",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.