Individual
KRUSHIL KANTIBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5225
Mailing address
4600 N CLARENDON AVE, APT#711, CHICAGO, IL 60640-5710
(443) 627-0777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.059001
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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