JAY JOSHI (NPI# 1447203153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447203153 |
| Entity Type | Individual |
| Full Name | JAY JOSHI |
| Credential | M.D. |
| Practice Address |
21720 W Long Grove Rd Ste. C200 Deer Park IL 60010-3732 |
| Practice Telephone | 8477013250 |
| Practice Fax Number | 8477013300 |
| Mailing Telephone | 8477013250 |
| Mailing Fax Number | 8477013300 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036115191 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | TAX ID | 363756275 | 01 |
| IL | DEPARTMENT OF LABOR | 131846500 | 01 |
| IL | BCBS PROVIDER | 1619628 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326394834 | Jay Joshi | Dentist | 4545 Wornall Rd Apt 1101, Kansas City, MO 64111-3258 | 2012-08-02 |
| 1528362191 | Jay R Joshi | Pharmacist | 1313 N Franklin Pl Apt 1003, Milwaukee, WI 53202-2985 | 2010-12-22 |
| 1497047435 | Jay Kaushik Joshi | General Practice | 931 Ridge Rd, Suite B, Munster, IN 46321-1755 | 2011-05-10 |
| Street Address |
21720 W LONG GROVE RD STE. C200 |
| City | DEER PARK |
| State | IL |
| Zip Code | 60010-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295165751 | Midwest Institute for Wellness LLC | Internal Medicine | 21720 W Long Grove Rd, Ste 246, Deer Park, IL 60010-3732 | 2013-11-20 |
| 1578868642 | National Pain Centers LLC | Pain Medicine | 21720 W Long Grove Rd, Ste. C200, Deer Park, IL 60010-3732 | 2011-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125425 | Cvs Aoc Services, L.L.C. | Optometrist | 101 South Northwest Highway, Store 7181, Barrington, IL 60010 | 2020-05-07 |
| 1497241707 | Sharon Kay Fu | Counselor | 1000 Hart Rd., Suite 201, Barrington, IL 60010 | 2018-07-10 |
| 1760977219 | Robert Scott Wertke | Student in an Organized Health Care Education/Training Program | 3147, 101 Lions Dr. #100, Barrington, IL 60010 | 2018-06-27 |
| 1548788169 | Integrated Care Inc. | Chiropractor | 22285 N. Pepper Rd. Suite 407, Lake Barrington, IL 60010 | 2017-09-04 |
| 1487174249 | Lucy Buhr | Physician Assistant | 1531 S Grove Ave Suite 101, Barrington, IL 60010 | 2017-06-22 |
| 1386180198 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 1531 S Grove Avenue, Suite 101, Barrington, IL 60010 | 2017-01-18 |
| 1649625872 | Hong Luo | Acupuncturist | 1525 S. Grove Ave, Suite 102, Barrington, IL 60010 | 2016-04-25 |
| 1508239724 | Taylor Sheahen | Counselor | 21925 W. Field Parkway, Suite 215, Deer Park, IL 60010 | 2015-11-10 |
| 1952780413 | Robert W. Davis | Massage Therapist | 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 | 2015-05-29 |
| 1982082863 | Marilu Garza | Massage Therapist | 110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 | 2015-05-12 |
| Find all providers in zip 60010 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578868642 | National Pain Centers LLC | Pain Medicine | 21720 W Long Grove Rd, Ste. C200, Deer Park, IL 60010-3732 | 2011-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365005 | Interventional Pain Consultants LLC | Pain Medicine | 4972 Benchmark Centre Dr Ste 400, Swansea, IL 62226-2070 | 2020-01-21 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1164940813 | Leonard Cerullo, Md, Ltd | Pain Medicine | 680 N Lake Shore Dr Ste 1428, Chicago, IL 60611-3461 | 2017-09-01 |
| 1417472887 | Kimberly Lynch | Pain Medicine | 5801 S Ellis Ave, Chicago, IL 60637-5418 | 2017-08-07 |
| 1598033953 | Manuel P. Blas | Pain Medicine | 1103 Berkley Ln, Lemont, IL 60439-8940 | 2011-12-13 |
| 1538356233 | Lake Shore Therapy Center, Inc. | Pain Medicine | 2338 W Morse Ave, 1 A, Chicago, IL 60645-4767 | 2007-09-27 |
| 1295811479 | Illinois Pain Treatment Institute, Ltd | Pain Medicine | 431 Summit, Elgin, IL 60120 | 2006-10-31 |
| 1164519005 | Wayne David Kelly | Pain Medicine | 1883 Hicks Rd, Suite A, Rolling Meadows, IL 60008-1254 | 2006-10-10 |
| 1417060146 | Ramesh Bathina | Pain Medicine | 1315 N Highland Ave # 105, Aurora, IL 60506-1400 | 2006-08-16 |
| 1457375115 | Terri L Dallas-prunskis | Pain Medicine | 4309 Medical Center Dr, B103, Mchenry, IL 60050 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.