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Individual

DR. VIKRAM B PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1479 COMMERCE DR, ALGONQUIN, IL 60102-5916
(847) 426-7516
Mailing address
PO BOX 1053, BEDFORD PARK, IL 60499-1053
(727) 823-2188

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
36099069
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35641715
BLUE CROSS BLUE SHILED OF IL
IL
01
L81069
MEDICARE
IL
Enumeration date
01/27/2006
Last updated
11/11/2008
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