Provider Demographics
NPI:1588407472
Name:PATEL, JANVI MANISH (MD)
Entity type:Individual
Prefix:
First Name:JANVI
Middle Name:MANISH
Last Name:PATEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1717 W. CONGRESS PARKWAY
Mailing Address - Street 2:1042 KELLOGG
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1717 W. CONGRESS PARKWAY
Practice Address - Street 2:1042 KELLOGG
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-942-5269
Practice Address - Fax:312-942-5271
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125.085291207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine