Individual
DR. MANISH JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1945 W WILSON AVE STE 100, CHICAGO, IL 60640-7927
(773) 769-9040
Mailing address
800 AUSTIN ST, SUITE 208, EVANSTON, IL 60202-3439
(847) 866-8988
(847) 866-8990
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036130313
IL
390200000X
Student in an Organized Health Care Education/Training Program
253170-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
4301088345
MI
Other
Enumeration date
03/27/2007
Last updated
05/30/2023
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