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Individual

DR. JAYANT V GINDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 000-0000
(708) 000-0000
Mailing address
62647 COLLECTION CENTER DR, CHICAGO, IL 60693-0626
(310) 335-4000

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036047890
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036047890
IL
01
320000298
RR MEDICARE ICRO
IL
01
920000278
RR MEDICARE CONS RAD
IL
01
9200004027
RR MEDICARE HITECH
IL
Enumeration date
11/18/2005
Last updated
11/30/2023
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