MEDICARE: DR. VIKAS H 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	207P00000X	Emergency Medicine Physician	036.125716	IL

General Provider Information

NPI Number	:	1598756348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIKAS H PATEL M.D.

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE STE 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1700
Country	:	US
Telephone Number	:	847-570-2040
Fax Number	:	847-570-5315

Provider Business Practice Location Address
First Line	:	155 E BRUSH HILL RD
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-5658
Country	:	US
Telephone Number	:	331-221-0200
Fax Number	:	331-221-3738

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

Provider Enumeration Date	:	11/01/2005
Last Update Date	:	12/08/2025

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