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General NPI Number Information
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NPI Number | 1174316293
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Entity Type | Organization
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Legal Business Name | JIVA PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 630 N NORTH CT STE 180
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City | PALATINE
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State | IL
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Zip | 60067-8122
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Country | US
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Telephone | 708-789-5669
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Fax |
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Provider Business Mailing Address
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Address Line | 630 N NORTH CT STE 180
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City | PALATINE
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State | IL
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Zip | 60067-8122
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Country | US
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Telephone | 630-296-6336
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/PRESIDENT
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Name | DR. MEERA NAIR
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Credential | MD
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Telephone | 630-296-6336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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