| Jayantibhai K Patel | |
|
6738 Cermak Rd Berwyn IL 60402-2217 | |
| (708) 749-2331 | |
| (708) 749-9339 |
| Full Name | Jayantibhai K Patel |
|---|---|
| Speciality | Internal Medicine |
| Location | 6738 Cermak Rd, Berwyn, Illinois |
| Authorized Official Name and Position | Jayantibhai K Patel (OWNER/PROVIDER) |
| Authorized Official Contact | 7087492331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jayantibhai K Patel 6738 Cermak Rd Berwyn IL 60402-2217 Ph: (708) 749-2331 | Jayantibhai K Patel 6738 Cermak Rd Berwyn IL 60402-2217 Ph: (708) 749-2331 |
| NPI Number | 1396048757 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396048757 | NPI | - | NPPES |
| 036051749 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036051749 (Illinois) | Primary |
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Macneal Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3249 South Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3222 Fax: 708-783-3489 | |
South Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6201 Roosevelt Rd, Berwyn, IL 60402 Phone: 708-386-0845 Fax: 708-386-8472 | |
Vanguard Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3222 Fax: 708-783-3489 | |
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