Organization
BHUPENDRA R. PATEL MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHUPENDRA R. PATEL M.D. (PHYSICAIN)
(847) 455-4701
Entity
Organization
Contact information
Practice address
9663 FRANKLIN AVE, FRANKLIN PARK, IL 60131-2719
(847) 455-4701
(847) 455-7805
Mailing address
9663 FRANKLIN AVE, FRANKLIN PARK, IL 60131-2719
(847) 455-4701
(847) 455-7805
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036093543
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093543
—
IL
01
—
110191689
RAIL ROAD MEDICARE
IL
Enumeration date
03/14/2007
Last updated
02/25/2010
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