Individual
DR. MUKESH C JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 N WABASH AVE, STE 1416, CHICAGO, IL 60602
(312) 726-9518
(312) 726-9536
Mailing address
111 N WABASH AVE, STE 1416, CHICAGO, IL 60602
(312) 726-9518
(312) 726-9536
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036055609
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055609
—
IL
Enumeration date
07/10/2006
Last updated
09/23/2011
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