Healthcare Provider Details

I. General information

NPI: 1174454284
Provider Name (Legal Business Name): SHILAM PATEL DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E OGDEN AVE
WESTMONT IL
60559-5569
US

IV. Provider business mailing address

700 E OGDEN AVE
WESTMONT IL
60559-5569
US

V. Phone/Fax

Practice location:
  • Phone: 630-789-3903
  • Fax:
Mailing address:
  • Phone: 630-789-3903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHILAM S PATEL
Title or Position: CEO
Credential: DMD
Phone: 503-804-4244