| Doctor Name: | MRS. NIRMALA JAIN |
| NPI Number: | 1952722167 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 036052696 |
| Business Practice Address: | 1600 W Touhy Ave Park Ridge, IL - 600683050 |
| Business Phone Number: | 8476969396 |
| Business Fax Number: | |
| Mailing Address: | 860 Winesap Ct., Rivertrail Condominium Unit 9 #305 PROSPECT HTS |
| State: | IL |
| Postal Code: | 60070 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/16/2013 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036052696 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |