Individual
VIPIN K JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2920 VETERANS PARKWAY, MT VERNON COMMUNITY HEALTH CENTER, MT VERNON, IL 62864
(618) 244-6544
(618) 244-6577
Mailing address
1441 W BROADWAY, CENTRALIA, IL 62801-5613
(618) 532-9050
(618) 724-4628
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036114716
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2521435
—
OH
Enumeration date
05/19/2006
Last updated
12/09/2020
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