Individual
VIKAS K. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 N WALL ST, STE 310, KANKAKEE, IL 60901-3483
(815) 936-3240
(815) 936-3243
Mailing address
375 N WALL ST, STE 310, KANKAKEE, IL 60901-3483
(815) 936-3240
(815) 936-3243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36114679
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036114679
IL
207RI0011X
Interventional Cardiology Physician
036114679
IL
207UN0901X
Nuclear Cardiology Physician
036114679
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114679
—
IL
01
—
208409003
MEDICARE PROVIDER #
IL
01
—
4632011
BCBS
IL
Enumeration date
05/23/2007
Last updated
01/28/2016
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