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General NPI Number Information
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NPI Number | 1801707922
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Entity Type | Organization
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Legal Business Name | PATEL PRIMARY CARE
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 5201 WILLOW SPRINGS RD STE 110
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City | LA GRANGE HIGHLANDS
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State | IL
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Zip | 60525-6504
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Country | US
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Telephone | 815-814-4966
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Fax |
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Provider Business Mailing Address
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Address Line | 720 S MITCHELL AVE
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City | ELMHURST
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State | IL
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Zip | 60126-4372
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Country | US
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Telephone | 847-477-1279
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | PRACHI PATEL
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Credential | D.O.
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Telephone | 847-477-1279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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