Kishor Ajmere MD LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KISHOR AJMERE MD LTD

Practice address

2435 Glenwood Ave
Ste 110
Joliet, IL 60435-5461

Phone

(815) 744-6005

Fax

(815) 744-6023

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kishor G Ajmere, MD

Title

Physician

Phone

(815) 744-6023

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952310179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 GLENWOOD AVE",
            "address_2": "STE 110",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355461",
            "telephone_number": "815-744-6005",
            "fax_number": "815-744-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 GLENWOOD AVE",
            "address_2": "STE 110",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355461",
            "telephone_number": "815-744-6005",
            "fax_number": "815-744-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHOR AJMERE MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AJMERE",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-744-6023",
        "authorized_official_name_prefix": "Mr.",
        "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": "BC/BS OF ILLINOIS",
            "identifier": "9900432",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Kinney, PTA
• Leslie K Kinsella, RBT-17-41706
• Kailey Kinzler
• Alyssa Kirby, MA
• Jessica L Kirby, LSW
• Beata Agnieszka Kisiel, M.D.
• John P Kizhakedan, LCPC, CEAP, SAP
• Lazar Kizhakedan, LSW, CADC
• Rebecca Klaff, LCSW
• Lori Klemm, DPM

• Internal Medicine Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.