| Dhruv Patel, | |
|
403 E 1st St, Dixon, IL 61021-3116 | |
| (815) 288-5531 | |
| Not Available |
| Full Name | Dhruv Patel |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 403 E 1st St, Dixon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518644087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 135001200 (Illinois) | Primary |
| Provider Name | Ksb Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
| Provider Name | Katherine Shaw Bethea Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Dhruv Patel, 9088 W Emerson St, Des Plaines, IL 60016-3914 Ph: (847) 376-9436 | Dhruv Patel, 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 288-5531 |
Gayana Wanniarachchi, Podiatrist Medicare: Medicare Enrolled Practice Location: 215 E 1st St Ste 111, Dixon, IL 61021 Phone: 815-345-5677 | |
Kyle Swanson, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Suite 310, Dixon, IL 61021 Phone: 515-210-9777 Fax: 815-285-5699 | |
Dr. David A Yeager, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Ste 306, Dixon, IL 61021 Phone: 815-285-5801 Fax: 815-285-5691 | |
Cara Lee Fontana, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St Ste 111, Dixon, IL 61021 Phone: 815-285-5801 | |
Brandon R. Gumbiner, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 310, Dixon, IL 61021 Phone: 815-285-5801 Fax: 815-285-5699 | |
Dr. Michael J Wessels, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St, Ste 306, Dixon, IL 61021 Phone: 815-285-5801 Fax: 815-285-5699 | |
Steven Yeschek, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Dixon, IL 61021 Phone: 815-285-5698 |