institution
Jehangir Mistry
General Practice Physician in Sycamore, Illinois
NPI 1124392139

Jehangir Mistry is a General Practice Physician based in Sycamore, IL. Jehangir Mistry practices in Sycamore, IL. The NPI Number for Jehangir Mistry is 1124392139 and holds a License No. 036054240 (Illinois).

The current practice location address for Jehangir Mistry is 2535 Bethany Rd, Sycamore, IL and can be reached out via phone at 815-756-6611 and via fax at 815-756-8441. You can also correspond with Jehangir Mistry through the mailing address at 2535 BETHANY RD, SYCAMORE, IL - 60178-3126 (mailing address contact number: 815-756-6611).

Location: 2535 Bethany Rd, Sycamore, IL, 60178-3126
institution
Provider Profile Details
NPI Number
1124392139
Provider Name
Jehangir Mistry
Credential
Provider Entity Type
Organization
Address
2535 Bethany Rd, Sycamore, IL, 60178-3126
Phone Number
815-756-6611
Fax Number
815-756-8441
Provider Enumeration Date
03/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02700116 05 IL
institution
Provider Business Practice Location Address Details
Address
2535 Bethany Rd
City
State
Zip
60178-3126
Phone Number
815-756-6611
Fax Number
815-756-8441
person
Provider Business Mailing Address Details
Address
2535 Bethany Rd
City
State
Zip
60178-3126
Phone Number
815-756-6611
Fax Number
815-756-8441
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
036054240 (Illinois)
Definition
Definition to come...
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