Individual
DR. AMISH M PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7001 W CULLOM AVE, NORRIDGE, IL 60706-7100
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
02004506A
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125051773
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02004506A
LICENSE NO
IN
01
—
036125813
LICENSE
IL
05
—
201315770
—
IN
Enumeration date
10/07/2008
Last updated
10/03/2025
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