Patel, Jayantibhai Gopalbhai
Patel, Jayantibhai Gopalbhai is an sole proprietor health care provider with primary practice located at 6834 W Cermak Road , Berwyn IL 60402-2240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Patel, Jayantibhai Gopalbhai can be contacted via phone (708) 788-6270.Contact Information
Primary practice address
6834 W Cermak Road
Berwyn IL 60402-2240
Phone: (708) 788-6270
Fax: (708) 788-6271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036047042 | Illinois |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 036047042 | Illinois |
Profile Details
| NPI number | 1770510141 |
|---|---|
| LBN Legal business name | Patel, Jayantibhai Gopalbhai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 14th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770510141 | NPPES |
| Illinois | Other | 1770510141 | NPI |
| Illinois | MEDICAID | 036047042 | NPI |
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