Healthcare Provider Details

I. General information

NPI: 1871931758
Provider Name (Legal Business Name): BHAIRVI JANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2013
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4309 W MEDICAL CENTER DR SUITE B202
MCHENRY IL
60050
US

IV. Provider business mailing address

200 FOX GLEN CT
BARRINGTON IL
60010-1809
US

V. Phone/Fax

Practice location:
  • Phone: 847-535-6085
  • Fax: 815-759-6284
Mailing address:
  • Phone: 847-382-7165
  • Fax: 847-713-8160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2016008753
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number036156393
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: