Individual
DR. JASHBHAI M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 E 15TH ST, SUITE 202, CHICAGO HEIGHTS, IL 60411-3459
(708) 754-7777
(708) 754-7701
Mailing address
30 E 15TH ST, SUITE 202, CHICAGO HEIGHTS, IL 60411-3459
(708) 754-7777
(708) 754-7701
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
036-050323
IL
207Q00000X
Family Medicine Physician
Primary
036050323
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623866
BLUECROSS BLUESHIELD
IL
05
—
036-050323
—
IL
01
—
080165392
MEDICARE RAILROAD
IL
01
—
F400196012
MEDICARE PTAN
IL
Enumeration date
11/16/2006
Last updated
09/29/2015
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