Healthcare Provider Details

I. General information

NPI: 1174549943
Provider Name (Legal Business Name): ARVIND PATEL M.D.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 02/11/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 E NORTHWEST HWY STE 200
DES PLAINES IL
60016-2274
US

IV. Provider business mailing address

380 E NORTHWEST HWY STE 200
DES PLAINES IL
60016-2274
US

V. Phone/Fax

Practice location:
  • Phone: 847-813-0700
  • Fax:
Mailing address:
  • Phone: 847-813-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036053174
License Number StateIL

VIII. Authorized Official

Name: DR. ARVIND PATEL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 847-299-6400