Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaisen Idiyaly

Individual provider Registered Respiratory Therapist · NPI 1629908777

Jaisen Idiyaly is a Registered Respiratory Therapist in Hines, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

5000 S 5th Ave
Hines, IL 60141-3030
Phone: (708) 202-2001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Respiratory Therapist (primary) Taxonomy 227900000X · Licence 194008584 (IL)

Record details

NPI number1629908777
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

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