Individual
JAI NEBHRAJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
722 W MAXWELL ST, CHICAGO, IL 60607-5002
(312) 996-2901
Mailing address
285 ROOSEVELT RD STE A, GLEN ELLYN, IL 60137-5618
(630) 469-0045
(630) 469-0645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036150261
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
12/06/2024
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