Jayantibhai K Patel

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036051749 Issued in IL

Legal business name

JAYANTIBHAI K PATEL

Practice address

6738 Cermak Rd
Berwyn, IL 60402-2217

Phone

(708) 749-2331

Fax

(708) 749-9339

NPI assigned

Dec 7, 2010

Last updated

Dec 15, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jayantibhai K Patel, MDNPI 1275575136

Title

Owner/Provider

Phone

(708) 749-2331

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jayantibhai K Patel, MD

  • Internal Medicine Physician
  • Berwyn, IL
  • NPI 1275575136
  NPD (past) Authorized official
• Haissam Sabbagh, MD

  • Internal Medicine Physician
  • La Grange, IL
  • NPI 1194836924
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1396048757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022217",
            "telephone_number": "708-749-2331",
            "fax_number": "708-749-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6738 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022217",
            "telephone_number": "708-749-2331",
            "fax_number": "708-749-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYANTIBHAI K PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYANTIBHAI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "708-749-2331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036051749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051749",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tita J Jacildo, CRNA
• Grazyna Jakubowska, LCSW
• Mairaj Jaleel, MD
• James Janda, RPH
• Linda Rebecca Janota
• Judith Jean-Baptiste, M.D.
• Keleya Jefferson
• Jencare Neighborhood Medical Center Berwyn, LLC
• Colin Eric Jensen
• Jacquelyn Ann Jesse, LPC

• Internal Medicine Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.