Patel, Ambalal K

Patel, Ambalal K is an individual health care provider with primary practice located at 1423 Chicago Rd , Chicago Heights IL 60411-3400. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Patel, Ambalal K can be contacted via phone (708) 755-3348.

Contact Information

Primary practice address
1423 Chicago Rd Chicago Heights IL 60411-3400
Phone: (708) 755-3348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1730193905
LBN Legal business name Patel, Ambalal K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1730193905 NPPES
Illinois Other 1619159 BLUE CROSS BLUE SHIELD

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