Patel, Chandulal M

Patel, Chandulal M is an sole proprietor health care provider with primary practice located at 4074 S Archer Ave , Chicago IL 60632. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Patel, Chandulal M can be contacted via phone (773) 847-1013.

Contact Information

Primary practice address
4074 S Archer Ave Chicago IL 60632
Phone: (773) 847-1013
Fax: (773) 847-0265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03648335 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 03648335 Illinois

Profile Details

NPI number 1922152370
LBN Legal business name Patel, Chandulal M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Sep 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922152370 NPPES
Illinois MEDICAID 036048335

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