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Contact Information

OM JAY GAYATRI MA INC
2315 E 93RD ST
STE 215
CHICAGO, IL60617-3936
 Phone: 773-768-7868
 Fax: 773-768-7869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for OM JAY GAYATRI MA INC

NPI Number 1740392687
LBN Legal business name OM JAY GAYATRI MA INC
Authorized official GHANSHYAM PATEL - (IN CHARGE OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 04/30/2018 - About 8 years ago
Identifiers
IL License # 054014973
Other 2021364 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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