Provider Demographics
NPI:1639192164
Name:PATEL, ALPESH ASHWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALPESH
Middle Name:ASHWIN
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 N. ST. CLAIR SUITE 1350
Mailing Address - Street 2:NORTHWESTERN MEDICAL FACULTY FOUNDATION
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-695-6800
Mailing Address - Fax:312-695-2772
Practice Address - Street 1:675 N. ST. CLAIR
Practice Address - Street 2:GALTER PAVILION 17-100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-695-6800
Practice Address - Fax:312-695-2772
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT185463207X00000X
IL036.128125207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery