Individual
SANJIV JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK ST., PHYSICAL MEIDCINE AND REHAB, URBANA, IL 61801
(217) 383-3800
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036094414
IL
Other
Enumeration date
07/12/2006
Last updated
03/30/2022
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