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NPI Code Detail

MEDICARE: SUBHASH PATEL M.D.

MEDICARE: SUBHASH 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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician036-073692IL
2208600000XSurgery Physician036-073692IL

General Provider Information

NPI Number : 1487603114
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUBHASH PATEL M.D.
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 9555 S 52ND AVE
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-3054
Country : US
Telephone Number : 708-684-6867
Fax Number : 708-684-6869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 09/29/2025

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