| NPI | 1255330361 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-07-20 |
| Last Updated | 2025-06-13 |
| Mailing Address | Pob 7132960 Chicago, IL 60677-0001 United States Phone: (630) 469-9200 📍 View Map |
| Primary Practice Address | 17148 Harlem Ave Tinley Park, IL 60477-3331 United States Phone: (708) 429-1200 | Fax: (708) 429-4845 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | IL | 01628096 | BCBSIL GROUP # |
| MEDICAID | IL | 036067930 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207RA0401X – Internal Medicine, Addiction Medicine | IL | 036067930 |
| No | 207RG0300X – Internal Medicine, Geriatric Medicine | IL | 036067930 |
| Yes | 207R00000X – Internal Medicine | IL | 036-067930 |
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About NPI 1255330361
Dinesh K Jain M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1255330361. The primary specialty listed is Internal Medicine. The provider is located in Tinley Park, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1255330361?
NPI 1255330361 belongs to Dinesh K Jain M.D., a Internal Medicine in Tinley Park, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1255330361 active?
The current status of NPI 1255330361 in the NPPES registry is Active. The record was last updated on 2025-06-13.
What specialty is NPI 1255330361?
NPI 1255330361 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1255330361?
You can verify NPI 1255330361 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1255330361?
The primary practice address on file for NPI 1255330361 is 17148 Harlem Ave, Tinley Park, IL 60477-3331. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1255330361 issued?
NPI 1255330361 was first issued (enumerated) on 2005-07-20. The NPPES record was last updated on 2025-06-13.
Practice Location Map
Dinesh K Jain is located at 17148 Harlem Ave, Tinley Park, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Dinesh K Jain. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1255330361. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Addiction Medicine | 036067930 | IL |
| Internal Medicine, Geriatric Medicine | 036067930 | IL |
| Internal Medicine | 036-067930 | IL |