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NPI Code Detail

MEDICARE: KIRTAN PATEL MD

MEDICARE: KIRTAN PATEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician125084652IL

General Provider Information

NPI Number : 1609610302
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRTAN PATEL MD
Provider Business Mailing Address
First Line : 3249 OAK PARK AVE
Second Line :
City : BERWYN
State : IL
Zip : 60402-3429
Country : US
Telephone Number : 708-783-2000
Fax Number :
Provider Business Practice Location Address
First Line : 3249 OAK PARK AVE
Second Line :
City : BERWYN
State : IL
Zip : 60402-3429
Country : US
Telephone Number : 708-783-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2024
Last Update Date : 03/26/2026

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Directions to “ KIRTAN PATEL MD” Practice Location

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