Patel, Jashbhai M

Patel, Jashbhai M is an individual health care provider with primary practice located at 30 E 15Th St Suite 202, Chicago Heights IL 60411-3459. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Patel, Jashbhai M can be contacted via phone (708) 754-7777.

Contact Information

Primary practice address
30 E 15Th St Suite 202 Chicago Heights IL 60411-3459
Phone: (708) 754-7777
Fax: (708) 754-7701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036-050323 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036050323 Illinois

Profile Details

NPI number 1629141601
LBN Legal business name Patel, Jashbhai M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Sep 29th, 2015 - about 11 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 1629141601 NPPES
Illinois Other 01623866 BLUECROSS BLUESHIELD
Illinois MEDICAID 036-050323 BLUECROSS BLUESHIELD
Illinois Other 080165392 BLUECROSS BLUESHIELD
Illinois Other F400196012 BLUECROSS BLUESHIELD

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