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Organization

JAI D ARYA MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAI DEV ARYA M.D. (PRESIDENT)
(773) 995-3405
Entity
Organization

Contact information

Practice address
67 W 111TH ST STE 301, CHICAGO, IL 60628-4247
(773) 995-3405
(773) 995-3408
Mailing address
67 W 111TH ST, SUITE 301, CHICAGO, IL 60628-4247
(773) 995-3408

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
IL
207Q00000X
Family Medicine Physician
Primary
IL
207R00000X
Internal Medicine Physician
IL

Other

Enumeration date
09/20/2006
Last updated
09/22/2007
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