Provider Demographics
NPI:1629389333
Name:PATEL, BHUMIKA SHAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:BHUMIKA
Middle Name:SHAH
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:BHUMIKA
Other - Middle Name:
Other - Last Name:SHAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:605 E ALGONQUIN RD
Mailing Address - Street 2:STE 300
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4373
Mailing Address - Country:US
Mailing Address - Phone:847-640-1112
Mailing Address - Fax:847-640-1107
Practice Address - Street 1:115 S GROVE AVE
Practice Address - Street 2:STE 204
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-6430
Practice Address - Country:US
Practice Address - Phone:847-608-1144
Practice Address - Fax:847-608-1133
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190283361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice