Basic Information
Provider Information
NPI: 1265883441
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATEL
FirstName: KUNAL
MiddleName: H.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9600 GROSS POINT RD. IM/ICU HOSPITALISTS
Address2:  
City: SKOKIE
State: IL
PostalCode: 600761900
CountryCode: US
TelephoneNumber: 8475701010
FaxNumber: 8477335108
Practice Location
Address1: 9600 GROSS POINT RD. IM/ICU HOSPITALISTS
Address2:  
City: SKOKIE
State: IL
PostalCode: 600761900
CountryCode: US
TelephoneNumber: 8475701010
FaxNumber: 8477335108
Other Information
ProviderEnumerationDate: 06/28/2016
LastUpdateDate: 04/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X036150095ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200X036150095ILN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
208M00000X036150095ILY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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