Provider Demographics
NPI:1376920264
Name:PATEL, DARSHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DARSHAN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 E OHIO ST STE 4102291
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3265
Mailing Address - Country:US
Mailing Address - Phone:224-388-1430
Mailing Address - Fax:224-344-6981
Practice Address - Street 1:125 NEW ABBEY DR
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:IL
Practice Address - Zip Code:60010-6182
Practice Address - Country:US
Practice Address - Phone:312-625-1889
Practice Address - Fax:224-344-6981
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA156554207R00000X
IL036.155781207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine