MEDICARE: DR. ANKIT P PATEL D.O

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	207R00000X	Internal Medicine Physician	OS19876	FL
2	208M00000X	Hospitalist Physician	036149145	IL
3	208M00000X	Hospitalist Physician	OS19876	FL
4	207R00000X	Internal Medicine Physician	036149145	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871941385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANKIT P PATEL D.O

Provider Business Mailing Address
First Line	:	700 E OGDEN AVE STE 202
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-1296
Country	:	US
Telephone Number	:	630-528-3215
Fax Number	:	630-528-3219

Provider Business Practice Location Address
First Line	:	700 E OGDEN AVE STE 202
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-1296
Country	:	US
Telephone Number	:	630-528-3215
Fax Number	:	630-528-3219

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

Provider Enumeration Date	:	05/25/2016
Last Update Date	:	08/13/2023

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Directions to “ DR. ANKIT P PATEL D.O” Practice Location

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