Provider Demographics
NPI:1073644605
Name:PATEL, RASHMIKA B (DDS)
Entity Type:Individual
Prefix:DR
First Name:RASHMIKA
Middle Name:B
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7140 DEMPSTER ST
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2053
Mailing Address - Country:US
Mailing Address - Phone:847-967-8999
Mailing Address - Fax:847-965-8991
Practice Address - Street 1:7140 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2053
Practice Address - Country:US
Practice Address - Phone:847-967-8999
Practice Address - Fax:847-965-8991
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice