Individual
JAY JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21720 W LONG GROVE RD, STE. C200, DEER PARK, IL 60010-3732
(847) 701-3250
(847) 701-3300
Mailing address
21720 W LONG GROVE RD, STE. C200, DEER PARK, IL 60010-3732
(847) 701-3250
(847) 701-3300
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
036115191
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131846500
DEPARTMENT OF LABOR
IL
01
—
1619628
BCBS PROVIDER
IL
01
—
363756275
TAX ID
IL
Enumeration date
05/17/2006
Last updated
01/05/2015
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