Organization
RASHMIKANT S.PATEL M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHMIKANT S PATEL M.D. (PRESIDENT)
(847) 336-6550
Entity
Organization
Contact information
Practice address
20 TOWER CT, SUITE D, GURNEE, IL 60031-5711
(847) 336-6550
Mailing address
20 TOWER CT, SUITE D, GURNEE, IL 60031-5711
(847) 336-6550
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036079486
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079486
—
IL
01
—
04901153
BLUE CROSS BLUE SHIELD
IL
01
—
951830
MEDICARE PROVIDER NUMBER ,GURNEE
IL
01
—
951831
MEDICARE PROVIDER NUMBER,LINDENHURST
IL
01
—
E93823
UPIN
IL
Enumeration date
04/21/2008
Last updated
04/21/2008
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