Krushil Kantibhai Patel, MD | |
4646 N Marine Dr, Chicago, IL 60640-5759 | |
(773) 564-5225 | |
Not Available |
Full Name | Krushil Kantibhai Patel |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 14 Years |
Location | 4646 N Marine Dr, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356629364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125.059001 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Medical Center East | Montgomery, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20140219000913 |
Mailing Address | Practice Location Address |
---|---|
Krushil Kantibhai Patel, MD 4600 N Clarendon Ave, Apt#711, Chicago, IL 60640-5710 Ph: (443) 627-0777 | Krushil Kantibhai Patel, MD 4646 N Marine Dr, Chicago, IL 60640-5759 Ph: (773) 564-5225 |
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