Individual
DR. DIVYA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1775 DEMPSTER ST, ATTN. DEPT. OF MEDICINE, PARK RIDGE, IL 60068-1143
(847) 723-1680
Mailing address
1600 N MARSHFIELD AVE, #204, CHICAGO, IL 60622-8042
(773) 697-9015
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036125338
IL
Other
Enumeration date
08/04/2008
Last updated
06/03/2022
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