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Organization
PRESTIGE 2
Active
Organization
PRESTIGE 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY K JOSHI MD (OWNER)
(630) 430-8024
Entity
Organization
Contact information
Practice address
11360 BROADWAY, CROWN POINT, IN 46307-7197
(219) 301-2624
Mailing address
PO BOX 578220, CHICAGO, IL 60657-7303
(773) 935-4700
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
07/14/2023
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