Organization
NORTHSIDE RHEUMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIN MANISH MD (MD)
(773) 769-9040
Entity
Organization
Contact information
Practice address
1945 W WILSON AVE STE 100, CHICAGO, IL 60640-7927
(773) 769-9040
(847) 866-8990
Mailing address
1945 W WILSON AVE STE 100, CHICAGO, IL 60640-7927
(773) 769-9040
(847) 866-8990
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/21/2022
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