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NPI Code Detail

MEDICARE: JAI D ARYA MD SC

MEDICARE: JAI D ARYA MD SC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianIL
2207R00000XInternal Medicine PhysicianIL
3207Q00000XFamily Medicine PhysicianIL

General Provider Information

NPI Number : 1801994009
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAI D ARYA MD SC
Provider Business Mailing Address
First Line : 67 W 111TH ST
Second Line : SUITE 301
City : CHICAGO
State : IL
Zip : 60628-4247
Country : US
Telephone Number : 773-995-3408
Fax Number :
Provider Business Practice Location Address
First Line : 67 W 111TH ST STE 301
Second Line :
City : CHICAGO
State : IL
Zip : 60628-4247
Country : US
Telephone Number : 773-995-3405
Fax Number : 773-995-3408
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAI DEV ARYA
Credential : M.D.
Telephone Number : 773-995-3405
Provider Enumeration Date : 09/20/2006
Last Update Date : 09/22/2007

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Directions to “JAI D ARYA MD SC ” Practice Location

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