Healthcare Provider Details

I. General information

NPI: 1376728196
Provider Name (Legal Business Name): ALKESH PRABHUDAS PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 07/21/2022
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 N PLUM GROVE RD STE B
SCHAUMBURG IL
60173-4779
US

IV. Provider business mailing address

943 N PLUM GROVE RD SUITE B
SCHAUMBURG IL
60173-4779
US

V. Phone/Fax

Practice location:
  • Phone: 847-952-9140
  • Fax: 847-952-9145
Mailing address:
  • Phone: 847-952-9140
  • Fax: 847-952-9145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number036-116582
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036-116582
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: