MEDICARE: DR. AASHKA PATEL DO

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	208000000X	Pediatrics Physician	125074582	IL
2	208000000X	Pediatrics Physician	036.160266	IL

General Provider Information

NPI Number	:	1346808243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AASHKA PATEL DO

Provider Business Mailing Address
First Line	:	1411 W HURON ST APT 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-6213
Country	:	US
Telephone Number	:	630-709-2752
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 N CLARK ST STE 400
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-5468
Country	:	US
Telephone Number	:	312-943-6964
Fax Number	:

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

Provider Enumeration Date	:	06/05/2019
Last Update Date	:	06/27/2022

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