MEDICARE: JATEEN C PATEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0120X	Pediatric Surgery Physician	98543	GA
2	2086S0120X	Pediatric Surgery Physician	41777	CO
3	2086S0120X	Pediatric Surgery Physician	PT13390	ND
4	2086S0120X	Pediatric Surgery Physician	036-128374	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013004670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JATEEN C PATEL M.D.

Provider Business Mailing Address
First Line	:	29624 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1296
Country	:	US
Telephone Number	:	608-756-6278
Fax Number	:

Provider Business Practice Location Address
First Line	:	8201 EAST RIVERSIDE BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1019
Country	:	US
Telephone Number	:	815-971-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	04/21/2025

Similar Medicare Providers

1750371365 — JOAQUIN B. GONZALEZ MD
Practice Location Address:

3134 NORTH CLARK STREET
CHICAGO, IL
60673-2915

Practice Phone: 773-880-9722
Practice Fax: 312-766-4917

1578539557 — DR. ABBAS A CHAMSUDDIN M.D.
Practice Location Address:

8201 EAST RIVERSIDE BLVD
CHICAGO, IL
60673-1461

Practice Phone: 815-971-7000
Practice Fax:

1316955057 — MRS. MAJA BALABAN LUKE CNM
Practice Location Address:

3134 NORTH CLARK STREET
CHICAGO, IL
60673-6704

Practice Phone: 773-296-7032
Practice Fax: 773-296-3096

1023028750 — DR. NESTOR M IVKOV M.D.
Practice Location Address:

9831 SOUTH WESTERN AVENUE
CHICAGO, IL
60673-1055

Practice Phone: 773-445-3500
Practice Fax: 773-445-0575

1558462531 — KURT P HEINKING D.O.
Practice Location Address:

26520 NETWORK PL
CHICAGO, IL
60673-1265

Practice Phone: 630-743-4500
Practice Fax:

1184708547 — MOHAMMED H ALI MD
Practice Location Address:

2301 EAST 93RD STREET
CHICAGO, IL
60673-3005

Practice Phone: 773-731-9898
Practice Fax: 773-731-1750

Directions to “ JATEEN C PATEL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.