Individual
DR. JAY MAHENDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2795
(708) 422-6200
Mailing address
500 N LAKE SHORE DR APT 1414, CHICAGO, IL 60611-3995
(201) 736-8038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.150745
IL
207R00000X
Internal Medicine Physician
MT-202443
PA
Other
Enumeration date
07/07/2012
Last updated
10/01/2019
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