Organization
INTEGRA HEALTHCARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SACHIN JAIN MD (OWNER)
(847) 623-7590
Entity
Organization
Contact information
Practice address
2504 WASHINGTON ST STE 102, WAUKEGAN, IL 60085-4960
(847) 623-7590
(847) 623-7591
Mailing address
5 TIMBERWOOD LN, RIVERWOODS, IL 60015-2463
(847) 858-2083
(224) 235-4415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.128223
IL
Other
Enumeration date
04/13/2015
Last updated
01/04/2019
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