Organization
INTERNAL MEDICINE SPECIALISTS OF KANKAKEE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALLABH PATEL M.D. (PRESIDENT)
(815) 932-4614
Entity
Organization
Contact information
Practice address
555 W COURT ST STE 400, KANKAKEE, IL 60901-3675
(815) 932-4614
(815) 932-4615
Mailing address
555 W COURT ST STE 400, KANKAKEE, IL 60901-3675
(815) 932-4614
(815) 932-4615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE2925
RAILROAD MEDICARE
IL
01
—
DE3021
RAILROAD MEDICARE
—
Enumeration date
02/22/2007
Last updated
03/18/2011
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