Provider Demographics
NPI:1174716633
Name:PATEL, JALPABAHEN ALKESH (MD)
Entity type:Individual
Prefix:
First Name:JALPABAHEN
Middle Name:ALKESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JALPABAHEN
Other - Middle Name:CHIMANLAL
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1635 OAKTON PL
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-2002
Mailing Address - Country:US
Mailing Address - Phone:847-635-5300
Mailing Address - Fax:847-813-0106
Practice Address - Street 1:1635 OAKTON PL
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-2002
Practice Address - Country:US
Practice Address - Phone:847-635-5300
Practice Address - Fax:847-813-0106
Is Sole Proprietor?:No
Enumeration Date:2007-08-19
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-116583207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine