MEDICARE: DR. KUNAL M 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	2085R0202X	Diagnostic Radiology Physician	ME141909	FL
2	2085R0202X	Diagnostic Radiology Physician	036.155721	IL
3	2085R0202X	Diagnostic Radiology Physician	0101286603	VA

General Provider Information

NPI Number	:	1174985287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KUNAL M PATEL M.D.

Provider Business Mailing Address
First Line	:	676 N SAINT CLAIR ST STE 1400
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2951
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 E HURON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2908
Country	:	US
Telephone Number	:	312-695-1290
Fax Number	:

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

Provider Enumeration Date	:	03/28/2016
Last Update Date	:	12/15/2025

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