Basic Information
| Provider Information | |||||||||
| NPI: | 1639192164 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | ALPESH | ||||||||
| MiddleName: | ASHWIN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 676 N. ST. CLAIR SUITE 1350 | ||||||||
| Address2: | NORTHWESTERN MEDICAL FACULTY FOUNDATION | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3126956800 | ||||||||
| FaxNumber: | 3126952772 | ||||||||
| Practice Location | |||||||||
| Address1: | 675 N. ST. CLAIR | ||||||||
| Address2: | GALTER PAVILION 17-100 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3126956800 | ||||||||
| FaxNumber: | 3126952772 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2006 | ||||||||
| LastUpdateDate: | 11/07/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | MT185463 | PA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 036.128125 | IL | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.