Provider Demographics
NPI:1376728196
Name:PATEL, ALKESH PRABHUDAS (MD)
Entity type:Individual
Prefix:DR
First Name:ALKESH
Middle Name:PRABHUDAS
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:943 N PLUM GROVE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4779
Mailing Address - Country:US
Mailing Address - Phone:847-952-9140
Mailing Address - Fax:847-952-9145
Practice Address - Street 1:943 N PLUM GROVE RD STE B
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4779
Practice Address - Country:US
Practice Address - Phone:847-952-9140
Practice Address - Fax:847-952-9145
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-1165822084N0600X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL569560OtherPTAN
ILK52083Medicare PIN
IL036116582Medicaid