Provider Demographics
NPI:1194763250
Name:PATEL, RAJIV J (MD)
Entity type:Individual
Prefix:DR
First Name:RAJIV
Middle Name:J
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:700 COMMERCE DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1546
Mailing Address - Country:US
Mailing Address - Phone:847-698-0601
Mailing Address - Fax:847-698-0601
Practice Address - Street 1:800 BIESTERFIELD RD
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3361
Practice Address - Country:US
Practice Address - Phone:847-981-5760
Practice Address - Fax:847-956-5138
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010786052085R0001X
IL036.1204612085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL778401OtherMEDICARE PROVIDER NUMBER
IL036-120461Medicaid
IL558620OtherMEDICARE PROVIDER NUMBER