Healthcare Provider Details

I. General information

NPI: 1700317658
Provider Name (Legal Business Name): AALOK PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 07/07/2024
Certification Date: 07/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7411 LAKE ST STE 2110
RIVER FOREST IL
60305-1886
US

IV. Provider business mailing address

7411 LAKE ST STE 2110
RIVER FOREST IL
60305-1886
US

V. Phone/Fax

Practice location:
  • Phone: 708-848-4662
  • Fax: 708-613-4319
Mailing address:
  • Phone: 708-848-4662
  • Fax: 708-613-4319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number036.163104
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: