Provider Demographics
NPI:1255967535
Name:ARVIND PATEL M.D.S.C.
Entity type:Organization
Organization Name:ARVIND PATEL M.D.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESDIENT
Authorized Official - Prefix:
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-299-6400
Mailing Address - Street 1:380 E NORTHWEST HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2274
Mailing Address - Country:US
Mailing Address - Phone:847-299-6400
Mailing Address - Fax:847-299-6409
Practice Address - Street 1:380 E NORTHWEST HWY STE 200
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-2274
Practice Address - Country:US
Practice Address - Phone:847-299-6400
Practice Address - Fax:847-299-6409
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARVIND PATEL M.D.S.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center