Organization
VIPUL M. PATEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIPUL M PATEL DPM (DOCTOR)
(219) 659-9000
Entity
Organization
Contact information
Practice address
17901 GOVERNORS HWY, SUITE 205, HOMEWOOD, IL 60430-1144
(708) 206-0777
(708) 206-0702
Mailing address
10506 CAPISTRANO LN, ORLAND PARK, IL 60467-8245
(219) 659-9000
(219) 659-0944
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
016005006
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632074
BLUE CROSS BLUE SHIELD
IL
05
—
213927549
—
IL
Enumeration date
02/04/2008
Last updated
02/27/2019
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