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Contact Information

JEHANGIR P MISTRY, MD
2535 BETHANY ROAD
SUITE 107
SYCAMORE, IL60178
 Phone: 815-756-6611
 Fax: 815-756-8441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for JEHANGIR P MISTRY · (Male)

NPI # 1942381439
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2006
Last updated 12/21/2009 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036054240
  • IL Medicaid 036054240
  • IL Other 0001900112 BCBS
  • IL Other 611489100 OWCP DOL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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