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Individual

AMITKUMAR RASIK PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-6922
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M0857
TX
208M00000X
Hospitalist Physician
Primary
036-111841
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1734477-01
TX
Enumeration date
07/25/2006
Last updated
07/21/2022
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