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General NPI Number Information
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NPI Number | 1043636954
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Entity Type | Individual
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Provider Name | ANKIT PATEL D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2014
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 10370 HALIGUS RD STE 320
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City | HUNTLEY
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State | IL
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Zip | 60142-9582
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Country | US
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Telephone | 847-802-7090
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Fax |
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Provider Business Mailing Address
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Address Line | 9046 OLEANDER AVE
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City | MORTON GROVE
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State | IL
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Zip | 60053-1922
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 036162152
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License Number State | IL
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