Individual
DR. JAISON J THEKKEKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
329 REMINGTON BLVD STE 205, BOLINGBROOK, IL 60440-5817
(630) 226-1130
(630) 226-1134
Mailing address
329 REMINGTON BLVD STE 205, BOLINGBROOK, IL 60440-5817
(630) 226-1130
(630) 226-1134
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13960320
WI
207L00000X
Anesthesiology Physician
336.112625
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036152336
IL
Other
Enumeration date
06/22/2016
Last updated
02/20/2026
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