| Nittor R. Jayaram Md Ltd | |
|
17031 Harlem Ave Tinley Park IL 60477-2739 | |
| (708) 532-4200 | |
| (708) 532-9465 |
| Full Name | Nittor R. Jayaram Md Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 17031 Harlem Ave, Tinley Park, Illinois |
| Authorized Official Name and Position | Nittor R Jayaram (PRESIDENT) |
| Authorized Official Contact | 7085324200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nittor R. Jayaram Md Ltd 17031 Harlem Ave Tinley Park IL 60477-2739 Ph: (708) 532-4200 | Nittor R. Jayaram Md Ltd 17031 Harlem Ave Tinley Park IL 60477-2739 Ph: (708) 532-4200 |
| NPI Number | 1356641120 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 10/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356641120 | NPI | - | NPPES |
| 0360565918 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036056518 (Illinois) | Primary |
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