Individual
DEEPAK SHASHIKANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VETERANS PARKWAY, SUITE 200, YORKVILLE, IL 60560
(630) 236-4270
(630) 236-4271
Mailing address
1100 W VETERANS PKWY STE 200, YORKVILLE, IL 60560-4728
(630) 236-4270
(630) 236-4271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036112492
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036112492
IL
Other
Enumeration date
09/20/2005
Last updated
07/20/2020
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