Oakton Medical Associates Inc | |
1300 Greenbrook Blvd Suite 204 Hanover Park IL 60133-5459 | |
(630) 830-8100 | |
(630) 830-8081 |
Full Name | Oakton Medical Associates Inc |
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Speciality | Internal Medicine |
Location | 1300 Greenbrook Blvd, Hanover Park, Illinois |
Authorized Official Name and Position | Paresh A Patel (PRESIDENT) |
Authorized Official Contact | 6305671876 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oakton Medical Associates Inc 1300 Greenbrook Blvd Suite 204 Hanover Park IL 60133-5459 Ph: (630) 830-8100 | Oakton Medical Associates Inc 1300 Greenbrook Blvd Suite 204 Hanover Park IL 60133-5459 Ph: (630) 830-8100 |
NPI Number | 1104015890 |
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Provider Enumeration Date | 10/17/2007 |
Last Update Date | 06/29/2010 |
Medicare PECOS PAC ID | 9234280652 |
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Medicare Enrollment ID | O20090625000198 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104015890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036116583 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036090908 (Illinois) | Primary |
Provider Name | Paresh A Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780668244 PECOS PAC ID: 4082765409 Enrollment ID: I20090625000166 |
Provider Name | Prili Gandhi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881868669 PECOS PAC ID: 2365599594 Enrollment ID: I20130102000195 |
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