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Individual
DR. SHISHIR JAIN
Active
Individual
DR. SHISHIR JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3698420
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003698420
BLUE SHEILD
IL
05
—
036098420
—
IL
01
—
110202292
RR MEDICARE PIN
IL
01
—
277392
WELLCARE HMO
IL
01
—
3698420
STATE LICENCE NO.
IL
01
—
667
CHICAGO HEALTH SYSTEMS (CHS)
IL
Enumeration date
10/11/2006
Last updated
06/19/2008
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