Provider Demographics
NPI:1376655571
Name:PATEL, RASHMI C (MD,)
Entity Type:Individual
Prefix:MR
First Name:RASHMI
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD,
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Mailing Address - Street 1:2380 S ELMHURST RD
Mailing Address - Street 2:
Mailing Address - City:MT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-5805
Mailing Address - Country:US
Mailing Address - Phone:773-538-6900
Mailing Address - Fax:773-538-6963
Practice Address - Street 1:2380 S ELMHURST RD
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-5805
Practice Address - Country:US
Practice Address - Phone:472-285-5578
Practice Address - Fax:472-286-5268
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2021-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036071361207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036071361Medicaid
ILD15835Medicare UPIN
IL036071361Medicaid