Provider Demographics
NPI:1346535804
Name:RASHMI PATEL MD SC
Entity Type:Organization
Organization Name:RASHMI PATEL MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHMI
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-592-9501
Mailing Address - Street 1:625 E PERSHING RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-1917
Mailing Address - Country:US
Mailing Address - Phone:773-592-9501
Mailing Address - Fax:773-538-6963
Practice Address - Street 1:625 E PERSHING RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-1917
Practice Address - Country:US
Practice Address - Phone:773-592-9501
Practice Address - Fax:773-538-6963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center