Individual
DR. DEVANG PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14855 S VAN DYKE RD, #294, PLAINFIELD, IL 60544-4369
(630) 800-2741
(866) 223-3460
Mailing address
14855 S VAN DYKE RD, #294, PLAINFIELD, IL 60544-4369
(630) 800-2741
(866) 223-3460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036121863
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
553180
MEDICARE GROUP PLAN NUMBER
IL
01
—
834340
MEDICARE GROUP PLAN NUMBER
IL
Enumeration date
08/27/2008
Last updated
03/27/2014
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