Patel Medical Group P.c. | |
20330 N Deer Park Blvd Ste 130 Deer Park IL 60010-7222 | |
(312) 625-1889 | |
Not Available |
Full Name | Patel Medical Group P.c. |
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Speciality | Clinic/Center |
Location | 20330 N Deer Park Blvd Ste 130, Deer Park, Illinois |
Authorized Official Name and Position | Darshan R Patel (CEO) |
Authorized Official Contact | 2243881430 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Patel Medical Group P.c. 20330 N Deer Park Blvd Ste 130 Deer Park IL 60010-7222 Ph: (312) 625-1889 | Patel Medical Group P.c. 20330 N Deer Park Blvd Ste 130 Deer Park IL 60010-7222 Ph: (312) 625-1889 |
NPI Number | 1104696012 |
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Provider Enumeration Date | 01/03/2024 |
Last Update Date | 04/24/2025 |
Medicare PECOS PAC ID | 1759818941 |
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Medicare Enrollment ID | O20241230002622 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104696012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Darshan Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376920264 PECOS PAC ID: 0143578096 Enrollment ID: I20241230003311 |
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