Provider Demographics
NPI:1003972365
Name:PATEL, ASHOK R (MD)
Entity Type:Individual
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First Name:ASHOK
Middle Name:R
Last Name:PATEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2800 N SHERIDAN RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6156
Mailing Address - Country:US
Mailing Address - Phone:773-549-3683
Mailing Address - Fax:773-549-3684
Practice Address - Street 1:2800 N SHERIDAN RD
Practice Address - Street 2:SUITE 303
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6156
Practice Address - Country:US
Practice Address - Phone:773-549-3683
Practice Address - Fax:773-549-3684
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL036 044119207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD13017Medicare UPIN