Organization
CONSULTANT PHYSICIANS
Active
Organization
CONSULTANT PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANKAJ JAIN MD (PRESIDENT)
(708) 475-5633
Entity
Organization
Contact information
Practice address
580 BANKVIEW DR, FRANKFORT, IL 60423-1382
(815) 464-0197
(815) 464-8140
Mailing address
PO BOX 688, MOKENA, IL 60448-0688
(815) 464-0197
(815) 464-8140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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