Jailwala, Bharat S

Jailwala, Bharat S is an sole proprietor health care provider with primary practice located at 846 Dundee Ave , Elgin IL 60120-3068. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Oncology, Radiation, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Jailwala, Bharat S can be contacted via phone (847) 695-3555.

Contact Information

Primary practice address
846 Dundee Ave Elgin IL 60120-3068
Fax: (847) 695-5937
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology, Radiation 261QX0203X 036066206 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036066206 Illinois

Profile Details

NPI number 1134233950
LBN Legal business name Jailwala, Bharat S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated May 15th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134233950 NPPES
Illinois Other 4520831 BLUE CROSS BLUE SHIELD
Illinois Other P00097762 BLUE CROSS BLUE SHIELD

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