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
Phone: (847) 695-3555
Fax: (847) 695-5937
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134233950 | NPPES |
| Illinois | Other | 4520831 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | P00097762 | BLUE CROSS BLUE SHIELD |
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