Individual
MRS. NIRMALA JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 W TOUHY AVE, PARK RIDGE, IL 60068-3050
(847) 696-9396
Mailing address
860 WINESAP CT., RIVERTRAIL CONDOMINIUM UNIT 9 #305, PROSPECT HTS, IL 60070
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036052696
IL
Other
Enumeration date
12/16/2013
Last updated
02/25/2016
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