Individual
DR. KAMAL A PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 W CENTRAL RD, SUITE 309, ARLINGTON HTS, IL 60005-2402
(847) 259-8777
(847) 259-9994
Mailing address
1614 W CENTRAL RD, SUITE 209, ARLINGTON HTS, IL 60005-2490
(847) 259-8777
(847) 259-9994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036100655
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623480
BLUE CROSS BLUE SHIELD
IL
05
—
036100655
—
IL
01
—
110200689
RAILROAD MEDICARE PTAN
IL
Enumeration date
09/13/2006
Last updated
01/03/2013
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