DR. MANISH JAIN (NPI# 1417075581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417075581 |
| Entity Type | Individual |
| Full Name | DR. MANISH JAIN |
| Credential | M.D. |
| Practice Address |
2845 N Sheridan Rd Suite 6400 Chicago IL 60657 |
| Mailing Address |
800 Austin St Suite 208 Evanston IL 60202-3439 |
| Practice Telephone | 7736658400 |
| Mailing Telephone | 8478668988 |
| Mailing Fax Number | 8478668990 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036130313 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 253170-1 | NY | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301088345 | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Austin St, Suite 208, Evanston, IL 602023439 | 8478668988 | 8478668990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962611657 | Manish Jain | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2007-05-21 |
| 1750443297 | Manish Jain | Internal Medicine | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2006-12-14 |
| 1316007750 | Manish Jain | Internal Medicine | West End Medical Center, 2100 W Pennsylvania Ave, Washington, DC 20037-4236 | 2006-12-08 |
| 1124008198 | Manish Jain | Obstetrics & Gynecology | 1120 15th St, Augusta, GA 30912-0004 | 2006-01-18 |
| Street Address |
2845 N SHERIDAN RD SUITE 6400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003843517 | Maria Teresa Tam | Obstetrics & Gynecology | 2845 N Sheridan Rd, Ste 902, Chicago, IL 60657-7227 | 2006-06-28 |
| 1033766043 | Millennium Park Medical Associates, Lakeview Corp | Clinic/Center | 2845 N Sheridan Rd, Ste 910, Chicago, IL 60657-6065 | 2019-08-23 |
| 1700397064 | Kelly Stevens | Physical Therapist | 2845 N Sheridan Rd, Suite 6400, Chicago, IL 60657 | 2017-10-13 |
| 1578099909 | Erin Oates | Dietitian, Registered | 2845 N Sheridan Rd, Fifth Floor, Chicago, IL 60657-7227 | 2017-05-04 |
| 1770030306 | Kaitlin Naatjes | Counselor | 2845 N Sheridan Rd, Chicago, IL 60657 | 2016-09-01 |
| 1346668902 | Stephanie Bayers | Dermatology | 2845 N Sheridan Rd, Suite 912, Chicago, IL 60657 | 2014-04-01 |
| 1760738470 | Blythe Ashley Dump | Physical Therapist | 2845 N Sheridan Rd, Suite 6400, Chicago, IL 60657 | 2012-07-31 |
| 1104116847 | Ying Hao Lai | Surgery | 2845 N Sheridan Rd, Suite 714, Chicago, IL 60657-7227 | 2011-04-14 |
| 1417252644 | Saloumeh Bozorgzadeh | Counselor | 2845 N Sheridan Rd, Ste 708, Chicago, IL 60657 | 2011-01-19 |
| 1104093202 | Richard Y Zhu | Surgery | 2845 N Sheridan Rd, Ste 714, Chicago, IL 60657 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611409 | Keith E Gilmer | Internal Medicine | 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 | 2018-12-29 |
| 1245643618 | Jean Lin | Internal Medicine | 240 E Huron St # M300, Chicago, IL 60611-2909 | 2014-06-03 |
| 1922445097 | Josna Haritha | Internal Medicine | 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 | 2013-05-30 |
| 1811151236 | Pui-wing W. Dy | Internal Medicine | 1458 S Canal St, Chicago, IL 60607-5201 | 2008-07-15 |
| 1255519278 | Vladimir M Liarski | Internal Medicine | 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1447 | 2008-01-31 |
| 1649472440 | Kichul Ko | Internal Medicine | 5841 S Maryland Ave # Mc0930, Chicago, IL 60637-1443 | 2007-06-04 |
| 1841365939 | Dorothy Katherine Bloniarz | Internal Medicine | 5325 W Belmont Ave, Chicago, IL 60641-4104 | 2006-11-22 |
| 1790875797 | Robert S Katz | Internal Medicine | 1725 W Harrison St Ste 365, Chicago, IL 60612-3836 | 2006-10-13 |
| 1043303803 | Gary Richard Fahrenbach | Internal Medicine | 7447 Talcott, Suite 209, Chicago, IL 60631-3713 | 2006-10-02 |
| 1245278142 | Allan Pilloff | Internal Medicine | 1900 W Taylor St, Suite A, Chicago, IL 60612-3742 | 2006-06-03 |
| Find all providers in CHICAGO | ||||
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| 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.