Individual
JAY PRAVIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 334-5566
(815) 759-4008
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 334-5566
(815) 759-4008
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
036.123715
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
23054
WI
2085R0204X
Vascular & Interventional Radiology Physician
8485
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100214942
—
WI
05
—
7208720
—
SD
Enumeration date
05/23/2012
Last updated
08/19/2025
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