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Individual

DR. KHUSHROO E PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9301 GOLF RD, SUITE 204, DES PLAINES, IL 60016-1667
(847) 297-3347
(847) 297-8476
Mailing address
2030 POST RD, SUITE 204, NORTHBROOK, IL 60062-6204
(847) 809-7719

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
36041521
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036041521
IL
01
2160211134
BLUE CROSS
IL
01
363712413
COMMERCIAL INSURANCE
IL
Enumeration date
03/29/2007
Last updated
06/28/2016
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