| Rashmikant S.patel M.d.s.c. | |
|
20 Tower Ct Suite D Gurnee IL 60031-5711 | |
| (847) 336-6550 | |
| Not Available |
| Full Name | Rashmikant S.patel M.d.s.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 Tower Ct, Gurnee, Illinois |
| Authorized Official Name and Position | Rashmikant S Patel (PRESIDENT) |
| Authorized Official Contact | 8473366550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rashmikant S.patel M.d.s.c. 20 Tower Ct Suite D Gurnee IL 60031-5711 Ph: (847) 336-6550 | Rashmikant S.patel M.d.s.c. 20 Tower Ct Suite D Gurnee IL 60031-5711 Ph: (847) 336-6550 |
| NPI Number | 1316111388 |
|---|---|
| Provider Enumeration Date | 04/21/2008 |
| Last Update Date | 04/21/2008 |
| Medicare PECOS PAC ID | 7012086051 |
|---|---|
| Medicare Enrollment ID | O20080516000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316111388 | NPI | - | NPPES |
| 04901153 | Other | IL | BLUE CROSS BLUE SHIELD |
| 951830 | Other | IL | MEDICARE PROVIDER NUMBER ,GURNEE |
| 951831 | Other | IL | MEDICARE PROVIDER NUMBER,LINDENHURST |
| 036079486 | Medicaid | IL | |
| E93823 | Other | IL | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036079486 (Illinois) | Primary |
| Provider Name | Rashmikant S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740298231 PECOS PAC ID: 7113945726 Enrollment ID: I20080516000707 |
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