person
Manohar L Jethani, MD
Family Medicine Physician in Berwyn, Illinois
NPI 1366529505

Manohar L Jethani is a Family Medicine Physician based in Berwyn, IL. Manohar L Jethani practices in Berwyn, IL and has the professional credentials of MD. The NPI Number for Manohar L Jethani is 1366529505 and holds a License No. 036046173 (Illinois).

The current practice location address for Manohar L Jethani is 3635 Harlem Ave, Berwyn, IL and can be reached out via phone at 708-447-9402 and via fax at 708-447-3246.

Location: 3635 Harlem Ave, Berwyn, IL, 60402-3212
person
Provider Profile Details
NPI Number
1366529505
Provider Name
Manohar L Jethani
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3635 Harlem Ave, Berwyn, IL, 60402-3212
Phone Number
708-447-9402
Fax Number
708-447-3246
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036046173 01 IL LICENSE #
14D0857955 01 IL CLIA #
01616688 01 IL BC/BS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
3635 Harlem Ave
City
State
Zip
60402-3212
Phone Number
708-447-9402
Fax Number
708-447-3246
person
Provider Business Mailing Address Details
Address
3635 Harlem Ave
City
State
Zip
60402-3212
Phone Number
708-447-9402
Fax Number
708-447-3246
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
036046173 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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