Organization
ACMI PAIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKRAM B PATEL MD (OWNER / PROVIDER)
(847) 426-7516
Entity
Organization
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
207L00000X
Anesthesiology Physician
036099069
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
'036099069
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632292
BLUE CROSS BLUE SHIELD IL
IL
01
—
613207400
US DEPT OF LABOR
—
Enumeration date
12/17/2007
Last updated
03/04/2009
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