Organization
DIVYANG A JOSHI MD PC
Active
Organization
DIVYANG A JOSHI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVYANG ANATRAY JOSHI MD (PRESIDENT)
(847) 931-8900
Entity
Organization
Contact information
Practice address
750 FLETCHER DR, SUITE 200, ELGIN, IL 60123-4703
(847) 931-8900
(847) 931-9041
Mailing address
750 FLETCHER DR, SUITE 200, ELGIN, IL 60123-4703
(847) 931-8900
(847) 931-9041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036082772
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082772
—
IL
01
—
1626038
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/19/2007
Last updated
07/29/2014
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