Individual
DR. NATHAN R JAISINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11231 DISTINCTIVE DR, ORLAND PARK, IL 60467-9458
(708) 460-9833
(708) 460-1117
Mailing address
11231 DISTINCTIVE DR, ORLAND PARK, IL 60467-9458
(800) 461-9533
(708) 478-1302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-322947
IL
363L00000X
Nurse Practitioner
209-004600
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0376062-34
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041322947
—
IL
01
—
726880
ASSOCIATION INDIVIDUAL DEVELOPMENT GROUP#
IL
01
—
P00476630
PALMETTO
IL
Enumeration date
05/04/2006
Last updated
01/05/2026
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