Organization
ADVANCED INTEGRATIVE MEDICINE
Active
Organization
ADVANCED INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALPESH PATEL M.D. (PHYSICIAN)
(815) 577-6446
Entity
Organization
Contact information
Practice address
12624 S ROUTE 59, PLAINFIELD, IL 60585-5448
(815) 577-6446
(815) 577-6331
Mailing address
12624 S ROUTE 59, PLAINFIELD, IL 60585-5448
(815) 577-6446
(815) 577-6331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036108691
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108691
—
IL
01
—
DD8953
RR MEDICARE
IL
Enumeration date
11/30/2007
Last updated
01/16/2014
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