Patil, Jyothi Deepak

Patil, Jyothi Deepak is an individual health care provider with primary practice located at 2000 Ogden Ave , Aurora IL 60504-7222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Patil, Jyothi Deepak can be contacted via phone (314) 849-3535.

Contact Information

Primary practice address
2000 Ogden Ave Aurora IL 60504-7222
Phone: (314) 849-3535
Fax: (314) 849-6395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 036108435 Illinois

Profile Details

NPI number 1972537595
LBN Legal business name Patil, Jyothi Deepak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972537595 NPPES
Illinois MEDICAID 036108435
Illinois Other P00305120

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