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General NPI Number Information
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NPI Number | 1427462282
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Entity Type | Individual
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Provider Name | GOPI R. PATEL D.O
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Gender | Female
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 1000 N WESTMORELAND RD
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City | LAKE FOREST
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State | IL
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Zip | 60045-1658
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Country | US
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Telephone | 847-234-5600
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Fax | 847-535-7884
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Provider Business Mailing Address
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Address Line | 3165 W ARTHUR AVE
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City | CHICAGO
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State | IL
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Zip | 60645-4130
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Country | US
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Telephone | 773-497-2381
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036149459
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License Number State | IL
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