Ishita Jain, | |
350 N Wall St, Kankakee, IL 60901-2901 | |
(815) 933-1671 | |
Not Available |
Full Name | Ishita Jain |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 350 N Wall St, Kankakee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427581370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 125076019 (Illinois) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 036.164211 (Illinois) | Primary |
Entity Name | Riverside Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
Mailing Address | Practice Location Address |
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Ishita Jain, 350 N Wall St, Kankakee, IL 60901-2901 Ph: () - | Ishita Jain, 350 N Wall St, Kankakee, IL 60901-2901 Ph: (815) 933-1671 |
Dr. Maria S Villegas, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St, Suite 405, Kankakee, IL 60901 Phone: 815-932-6632 Fax: 815-932-5760 | |
Dr. Alyce F Jackson, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 375 N Wall St Ste P520, Kankakee, IL 60901 Phone: 815-932-6632 Fax: 815-932-5760 | |
Dr. Ekua Baidua Gilbert-baffoe, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 375 N Wall St Ste P520, Kankakee, IL 60901 Phone: 815-932-6632 Fax: 815-932-5760 |