Joshi, Jay

Joshi, Jay is an individual health care provider with primary practice located at 21720 W Long Grove Rd Ste. C200, Deer Park IL 60010-3732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Joshi, Jay can be contacted via phone (847) 701-3250.

Contact Information

Primary practice address
21720 W Long Grove Rd Ste. C200 Deer Park IL 60010-3732
Phone: (847) 701-3250
Fax: (847) 701-3300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036115191 Illinois

Profile Details

NPI number 1447203153
LBN Legal business name Joshi, Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 5th, 2015 - about 9 years 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 1447203153 NPPES
Illinois Other 363756275 TAX ID
Illinois Other 131846500 TAX ID
Illinois Other 1619628 TAX ID

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