Individual
KISHOR NATHMAL JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 COLORADO AVENUE, FRANKFORT, IL 60423-1334
(815) 469-2123
(815) 469-2149
Mailing address
222 COLORADO AVENUE, FRANKFORT, IL 60423-1334
(815) 469-2123
(815) 469-2149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
208000000X
Pediatrics Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09915014
BLUE CROSS BLUE SHIELD
IL
01
—
649420
MEDICARE PROV NUMBER
—
Enumeration date
11/21/2006
Last updated
09/11/2025
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