Individual
DR. SUBHASH KANUBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190
(630) 933-4056
(630) 933-4057
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4056
(630) 933-4057
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036118643
IL
2084N0600X
Clinical Neurophysiology Physician
036118643
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036118643
MEDICAID
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
—
F400121574
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
P01291635
MEDICARE RAILROAD (INDIVIDUAL)
IL
Enumeration date
10/25/2006
Last updated
06/26/2018
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