Healthcare Provider Details

I. General information

NPI: 1902215411
Provider Name (Legal Business Name): EPIC FAMILY CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2014
Last Update Date: 03/16/2022
Certification Date: 03/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 E DUNDEE RD
PALATINE IL
60074-2858
US

IV. Provider business mailing address

770 EAST DUNDEE ROAD
PALATINE IL
60074-5339
US

V. Phone/Fax

Practice location:
  • Phone: 708-733-7750
  • Fax:
Mailing address:
  • Phone: 708-733-7750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HEMAL K PATEL
Title or Position: MD/OWNER
Credential: MD
Phone: 630-835-2896