Provider Demographics
NPI:1578728549
Name:PATEL, SATISH N (MD)
Entity Type:Individual
Prefix:DR
First Name:SATISH
Middle Name:N
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SATISHKUMAR
Other - Middle Name:NATVARLAL
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1614 W CENTRAL RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2453
Mailing Address - Country:US
Mailing Address - Phone:847-259-8777
Mailing Address - Fax:847-259-9994
Practice Address - Street 1:1614 W CENTRAL RD
Practice Address - Street 2:SUITE 209
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2453
Practice Address - Country:US
Practice Address - Phone:847-259-8777
Practice Address - Fax:847-259-9994
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036126253207Q00000X, 207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine