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General NPI Number Information
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NPI Number | 1588407472
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Entity Type | Individual
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Provider Name | JANVI MANISH PATEL MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1717 W. CONGRESS PARKWAY 1042 KELLOGG
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-942-5269
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Fax | 312-942-5271
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Provider Business Mailing Address
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Address Line | 1717 W. CONGRESS PARKWAY 1042 KELLOGG
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.085291
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License Number State | IL
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