Individual
AJAY JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1375 E SCHAUMBURG RD, SUITE 120, SCHAUMBURG, IL 60194-5166
(847) 352-2344
(847) 352-2369
Mailing address
1375 E SCHAUMBURG RD, SUITE 120, SCHAUMBURG, IL 60194-5166
(847) 352-2344
(847) 352-2369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036045233
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045233
—
IL
01
—
21602458
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/01/2006
Last updated
07/08/2007
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