Healthcare Provider Details

I. General information

NPI: 1174316293
Provider Name (Legal Business Name): JIVA PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 N NORTH CT STE 180
PALATINE IL
60067-8122
US

IV. Provider business mailing address

630 N NORTH CT STE 180
PALATINE IL
60067-8122
US

V. Phone/Fax

Practice location:
  • Phone: 708-789-5669
  • Fax:
Mailing address:
  • Phone: 630-296-6336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MEERA NAIR
Title or Position: CO-OWNER/PRESIDENT
Credential: MD
Phone: 630-296-6336