Individual
AMEE K PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
01086751A
IN
207K00000X
Allergy & Immunology Physician
Primary
036149226
IL
207R00000X
Internal Medicine Physician
036149226
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300056063
—
IN
Enumeration date
05/26/2015
Last updated
07/24/2023
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