Healthcare Provider Details

I. General information

NPI: 1376655571
Provider Name (Legal Business Name): RASHMI C PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 S ELMHURST RD
MOUNT PROSPECT IL
60056-5805
US

IV. Provider business mailing address

2380 S ELMHURST RD
MT PROSPECT IL
60056-5805
US

V. Phone/Fax

Practice location:
  • Phone: 472-285-5578
  • Fax: 472-286-5268
Mailing address:
  • Phone: 773-538-6900
  • Fax: 773-538-6963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036071361
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: