Individual
DR. DINESH K JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17148 HARLEM AVE, TINLEY PARK, IL 60477-3331
(708) 429-1200
(708) 429-4845
Mailing address
POB 7132960, CHICAGO, IL 60677-0001
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-067930
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
036067930
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036067930
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01628096
BCBSIL GROUP #
IL
05
—
036067930
—
IL
Enumeration date
07/20/2005
Last updated
06/13/2025
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