| Virendra Patel, Md | |
|
770 E Northwest Hwy Mount Prospect IL 60056-3464 | |
| (847) 454-1001 | |
| (847) 454-1002 |
| Full Name | Virendra Patel, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 770 E Northwest Hwy, Mount Prospect, Illinois |
| Authorized Official Name and Position | Daniel Mccormick (SR VP) |
| Authorized Official Contact | 7085836817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virendra Patel, Md Po Box 564437 Chicago IL 60656-4437 Ph: (708) 583-7310 | Virendra Patel, Md 770 E Northwest Hwy Mount Prospect IL 60056-3464 Ph: (847) 454-1001 |
| NPI Number | 1730478454 |
|---|---|
| Provider Enumeration Date | 04/04/2011 |
| Last Update Date | 04/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730478454 | NPI | - | NPPES |
| 036056559 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036056559 (Illinois) | Primary |
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