MEDICARE: JIGAR VIRENBHAI JOSHI MBBS, MD, HMDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036136777	IL

General Provider Information

NPI Number	:	1336416767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIGAR VIRENBHAI JOSHI MBBS, MD, HMDC

Provider Business Mailing Address
First Line	:	1340 S DAMEN AVE STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-1170
Country	:	US
Telephone Number	:	312-945-9750
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 S DAMEN AVE STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-1170
Country	:	US
Telephone Number	:	312-997-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2011
Last Update Date	:	04/08/2021

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