Individual
KISHORBHAI K PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3315 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-1000
(309) 344-1054
Mailing address
3315 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-1000
(309) 344-1054
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036077674
IL
207RP1001X
Pulmonary Disease Physician
036077674
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077674
—
IL
01
—
0581355
ACS
—
01
—
10614566
CAQH
—
01
—
364271985-24
JOHN DEERE
—
01
—
4815127
BC/BS
—
01
—
5239194
AETNA
—
Enumeration date
09/26/2006
Last updated
10/27/2023
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