PANKAJ JAIN


Address: 3800 W 203rd St, Suite 202, Olympia Fields, IL 60461-1184
Phone: 7086792660

PANKAJ JAIN (NPI# 1215996301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215996301
Entity Type Individual
Full Name PANKAJ JAIN
Credential M.D.
Practice Address 3800 W 203rd St
Suite 202
Olympia Fields
IL 60461-1184
Mailing Address 1040 Sierra Dr
Suite 400
Greenwood
IN 46143-7240
Practice Telephone 7086792660
Practice Fax Number 7085033861
Mailing Telephone 3175284800
Mailing Fax Number 3178658319
Enumeration Date 2006-03-20
Last Update Date 2013-08-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
036121222 IL Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
39423 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL TAX ID 05-0540914 01
IL 036121222 05
KY RAILROAD MEDICARE P00256659 01
KY BLUE CROSS BLUE SHIELD 000000365405 01
KY 64100852 05
IL RAIL ROAD MEDICARE P00723355 01

Other Providers PANKAJ JAIN

NPI Name Taxonomy Address Enumeration
1639784408 Pankaj Jain Internal Medicine 800 Washington St, Boston, MA 02111-1552 2020-09-09
1033538590 Pankaj Jain Pediatrics 1506 S Oneida St, Appleton, WI 54915-1305 2014-04-14
1174941108 Pankaj Jain Pediatrics 1400 S Dobson Rd, Mesa, AZ 85202-4707 2014-04-07
1699017095 Pankaj Jain Student in an Organized Health Care Education/Training Program 300 Community Dr, Manhasset, NY 11030-3816 2013-03-23
1124303557 Pankaj Jain Anesthesiology 1611 Nw 12th Ave, Miami, FL 33136-1005 2011-10-17
1689822397 Pankaj Jain Anesthesiology 100 North Academy Ave., Danville, PA 17822-2025 2008-09-05
1730152422 Pankaj M Jain Urology 13555 W Mcdowell Rd, Suite 203, Goodyear, AZ 85395-2624 2006-02-11

Office Location

Street Address 3800 W 203RD ST
SUITE 202
City OLYMPIA FIELDS
State IL
Zip Code 60461-1184

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306828140 Barbara Zeng Kwasny Nurse Practitioner 3800 W 203rd St, Olympia Fields, IL 60461-1184 2005-11-17
1518583491 Stephanie Ward Nurse Practitioner 3800 W 203rd St, Olympia Fields, IL 60461-1184 2020-06-17
1184089351 Andrea Cashman Duerinck Nurse Practitioner 3800 W 203rd St, Olympia Fields, IL 60461-1184 2015-12-15
1932523362 Pulmonary and Sleep Associates Inc. Clinic/Center 3800 W 203rd St, Suite 201, Olympia Fields, IL 60461-1184 2014-02-05
1114357845 Suburban Infectious Disease LLC General Acute Care Hospital 3800 W 203rd St, Suite 201, Olympia Fields, IL 60461 2013-11-15
1538504493 Hassan George Azar Internal Medicine 3800 W 203rd St, Suite 202, Olympia Fields, IL 60461-1184 2013-05-06
1366716185 St James Hospital United States Catholic Conference Internal Medicine 3800 W 203rd St, Suite 202, Olympia Fields, IL 60461-1184 2012-02-24
1750532420 South Suburban Medical Clinic LLC Internal Medicine 3800 W 203rd St, Suite 201, Olympia Fields, IL 60461-1184 2008-09-30
1669635223 Frankfort Medical Clinic Internal Medicine 3800 W 203rd St, Suite 201, Olympia Fields, IL 60461-1184 2008-07-03
1790976231 Midwest Physician Group Ltd Nurse Practitioner 3800 W 203rd St, Olympia Fields, IL 60461-1184 2007-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609372564 Katherine Gill Haddad Student in an Organized Health Care Education/Training Program 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 2018-03-31
1750886610 Kim Minh Dang Student in an Organized Health Care Education/Training Program 20201 South Crawford, Olympia Fields, IL 60461 2018-03-23
1619484110 Alexandra N. Douvas Dentist 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 2018-01-05
1992258438 Krystyne Doty Nurse Practitioner 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 2016-08-02
1205286747 Shirlene Umali Registered Nurse 20201 South Crawford Ave, Olympia Fields, IL 60461 2016-06-15
1386002590 Touch of Wholeness Psychological Services, LLC Psychologist 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 2016-02-02
1063895357 David Dardick Dentist 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 2015-07-04
1811378623 Fins Healthcare Agency Nursing Care 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 2015-06-17
1285048959 Garud Ranga Raj Orthopaedic Surgery 20817 Alexander St, Olympia Fields, IL 60461 2014-06-20
1811316334 Brett Hapeman Emergency Medicine 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 2014-04-11
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588751382 Carl A. Kaplan Internal Medicine 3800 W 203rd St Ste 202, Olympia Fields, IL 60461-1185 2006-10-05
1700986460 Bradley Scott Coolidge Internal Medicine 20303 Crawford Ave Ste 120, Olympia Fields, IL 60461-1173 2006-09-23
1811040595 Ravi K Sundaram Internal Medicine 20303 Crawford Ave Ste 120, Olympia Fields, IL 60461-1173 2007-01-18
1598824039 Robert Aronson Internal Medicine 20303 Crawford Ave Ste 120, Olympia Fields, IL 60461-1173 2006-12-08
1427036052 Bampen Charo Internal Medicine 3800 W 203rd St, Ste 202, Olympia Fields, IL 60461-1184 2006-01-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720636202 Pulmonary Associates Ltd Internal Medicine 71 W 156th St Ste 203, Harvey, IL 60426-4262 2019-08-28
1336516467 Hesham A. Hassaballa, Md, Ltd Internal Medicine 109 Symonds Dr Unit 684, Hinsdale, IL 60522-7304 2015-08-24
1497141394 Pulmonary and Critical Care Solutions, LLC Internal Medicine 6116 N 2200 East Rd, Downs, IL 61736-9459 2015-04-08
1558771220 Christopher Charles Sutton Internal Medicine 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 2014-05-05
1861835985 Christie Ann Brillante Internal Medicine 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 2013-04-08
1992050850 Thomas Christopher Draghi Internal Medicine 155 Linden Ave, Oak Park, IL 60302-2610 2012-07-17
1144586041 Robert T Zeck Internal Medicine 13141 Lake Mary Dr, Plainfield, IL 60585-2650 2012-04-04
1508160359 Aziz Rahman Md Facp PC Internal Medicine 1050 Martin Luther King Dr, Ste 109, Centralia, IL 62801 2011-01-07
1811211774 Vitalcare Medical Sc Internal Medicine 1146 S Waukegan Rd, Waukegan, IL 60085-6731 2010-03-22
1508095605 Farhan Zaidi Internal Medicine 444 N Northwest Hwy Ste 206, Park Ridge, IL 60068 2009-07-09
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Competitor

Search similar providers

City OLYMPIA FIELDS
Zip Code 60461

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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