Organization
KISHWAUKEE CARDIOLOGY ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGDISH R PATEL MD (OWNER)
18157867076
Entity
Organization
Contact information
Practice address
2530 HAUSER ROSS DR, SYCAMORE, IL 60178-3162
(815) 748-7076
(815) 748-7070
Mailing address
2530 HAUSER ROSS DR, SYCAMORE, IL 60178-3162
(815) 748-7076
(815) 748-7070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891704037
—
IL
Enumeration date
10/11/2006
Last updated
05/27/2011
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