Organization
JAYANTIBHAI K PATEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYANTIBHAI K PATEL MD (OWNER/PROVIDER)
(708) 749-2331
Entity
Organization
Contact information
Practice address
6738 CERMAK RD, BERWYN, IL 60402-2217
(708) 749-2331
(708) 749-9339
Mailing address
6738 CERMAK RD, BERWYN, IL 60402-2217
(708) 749-2331
(708) 749-9339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036051749
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051749
—
IL
Enumeration date
12/07/2010
Last updated
12/15/2010
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