Provider Demographics
NPI:1619187895
Name:HEALTH CARE ASSOCIATES OF STREAMWOOD
Entity Type:Organization
Organization Name:HEALTH CARE ASSOCIATES OF STREAMWOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRIT
Authorized Official - Middle Name:K
Authorized Official - Last Name:PATARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-837-0310
Mailing Address - Street 1:77 E IRVING PARK RD
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-2930
Mailing Address - Country:US
Mailing Address - Phone:630-837-0310
Mailing Address - Fax:630-806-8172
Practice Address - Street 1:77 E IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-2930
Practice Address - Country:US
Practice Address - Phone:630-837-0310
Practice Address - Fax:630-806-8172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL979840Medicare PIN
IL473211Medicare PIN