Organization
VISHAR MEDICAL CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY PATEL M.D. (PRESIDENT)
(773) 721-0322
Entity
Organization
Contact information
Practice address
2315 E 93RD ST, SUITE 340, CHICAGO, IL 60617-3910
(773) 721-0322
(773) 721-1471
Mailing address
PO BOX 10428, MERRILLVILLE, IN 46411-0428
(219) 681-2065
(219) 681-2066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL8627
RAILROAD MEDICARE
IL
Enumeration date
05/17/2006
Last updated
01/31/2008
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