Provider Demographics
NPI:1225327919
Name:DAVE, ANKUR B (DO)
Entity Type:Individual
Prefix:
First Name:ANKUR
Middle Name:B
Last Name:DAVE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7804 W COLLEGE DRIVE
Mailing Address - Street 2:SUITE 1NW
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463
Mailing Address - Country:US
Mailing Address - Phone:708-361-5778
Mailing Address - Fax:708-361-5631
Practice Address - Street 1:7804 W COLLEGE DR STE 1NW
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1025
Practice Address - Country:US
Practice Address - Phone:708-361-5778
Practice Address - Fax:708-361-5631
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.134219207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease