Individual
DR. JIGNASA PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2285 SEQUOIA DR, AURORA, IL 60506-6209
(630) 859-6824
(630) 859-6785
Mailing address
28594 NETWORK PL, CHICAGO, IL 60673-1283
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A19203
CA
207Q00000X
Family Medicine Physician
Primary
36096474
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096474
—
IL
01
—
0451514334
BLUESHIELD PROVIDER #
IL
Enumeration date
07/08/2006
Last updated
03/03/2023
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