Individual
JAYANTIBHAI GOPALBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6834 W CERMAK ROAD, BERWYN, IL 60402-2240
(708) 788-6270
(708) 788-6271
Mailing address
6834 CERMAK RD, BERWYN, IL 60402-2240
(708) 788-6270
(708) 788-6271
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036047042
IL
2086S0127X
Trauma Surgery Physician
036047042
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047042
—
IL
01
—
1770510141
NPI
IL
Enumeration date
06/28/2006
Last updated
07/14/2008
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