Provider Demographics
NPI:1790829547
Name:DR.ARVIND PATEL, M.D.S.C.
Entity Type:Organization
Organization Name:DR.ARVIND PATEL, M.D.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MDSC
Authorized Official - Phone:847-299-6400
Mailing Address - Street 1:1460 MARKET ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-4643
Mailing Address - Country:US
Mailing Address - Phone:847-299-6400
Mailing Address - Fax:847-299-6409
Practice Address - Street 1:1460 MARKET ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4643
Practice Address - Country:US
Practice Address - Phone:847-299-6400
Practice Address - Fax:847-299-6409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL31600344OtherOTHER
ILD14653Medicare UPIN
IL212707Medicare ID - Type UnspecifiedMEDICARE