MEDICARE: JALPABAHEN ALKESH 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	207Q00000X	Family Medicine Physician	036-116583	IL

General Provider Information

NPI Number	:	1174716633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JALPABAHEN ALKESH PATEL M.D.

Provider Business Mailing Address
First Line	:	1635 OAKTON PL
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-2002
Country	:	US
Telephone Number	:	847-635-5300
Fax Number	:	847-813-0106

Provider Business Practice Location Address
First Line	:	1635 OAKTON PL
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-2002
Country	:	US
Telephone Number	:	847-635-5300
Fax Number	:	847-813-0106

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

Provider Enumeration Date	:	08/19/2007
Last Update Date	:	04/28/2021

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