Individual
JAGDISH R PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 KISH HOSPITAL DR STE 103, DEKALB, IL 60115-9602
(630) 232-0280
(630) 232-3895
Mailing address
5 KISH HOSPITAL DR STE 103, DEKALB, IL 60115-9602
(630) 232-0280
(630) 232-3895
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-090465
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207RC0000X
TAXONOMY
—
Enumeration date
08/05/2006
Last updated
09/17/2024
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