Individual
ISHWAR K PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 MOON LAKE BLVD STE 100, HOFFMAN ESTATES, IL 60169-5700
(847) 884-9800
Mailing address
2801 LAKESIDE DR, STE 209, BANNOCKBURN, IL 60015-1271
(847) 562-1410
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-050322
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050322
—
IL
Enumeration date
07/22/2005
Last updated
01/23/2020
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