DR. UDIT VIJAY PATEL (NPI# 1114073095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114073095 |
| Entity Type | Individual |
| Full Name | DR. UDIT VIJAY PATEL |
| Other Name | DR. TIKU PATEL |
| Credential | D.O. |
| Practice Address |
2400 Glenwood Ave Suite 210 Joliet IL 60435-5474 |
| Practice Telephone | 8157290700 |
| Practice Fax Number | 8157290707 |
| Mailing Telephone | 8157290700 |
| Mailing Fax Number | 8157290707 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
036-116060 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2400 GLENWOOD AVE SUITE 210 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-5474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790759835 | Sung Chul Ahn | Physical Medicine & Rehabilitation | 2400 Glenwood Ave, Suite 120, Joliet, IL 60435-5474 | 2006-02-15 |
| 1477194579 | Diane Paron | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1447891429 | Karon M Buis | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1942841952 | Stanley Jerome Valentine | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1174164149 | Keith Harris | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1558718064 | Family Guidance Centers, Inc. | Clinic/Center | 2400 Glenwood Ave, Suite 100, Joliet, IL 60435-5474 | 2016-05-16 |
| 1295104958 | Vna Health Care | Clinic/Center | 2400 Glenwood Ave, Suite 220, Joliet, IL 60435-5474 | 2015-09-23 |
| 1194094094 | Family Guidance Centers, Inc. | Clinic/Center | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2011-12-21 |
| 1013163757 | Amy L Finan | Speech-Language Pathologist | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2008-08-13 |
| 1215192034 | Amedisys Illinois, L.L.C. | Home Health | 2400 Glenwood Ave, Suite 205, Joliet, IL 60435-5474 | 2008-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
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| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043233554 | Samir Sharma | Anesthesiology | 2400 Glenwood Ave Ste 210, Joliet, IL 60435-5498 | 2006-07-25 |
| 1205090578 | Holistic Science Pain Clinic LLC | Anesthesiology | 105 129th Infantry Drive, Joliet, IL 60435 | 2008-07-15 |
| 1578610176 | Pain & Spine Institute, LLC | Anesthesiology | 744 Essington Rd, Joliet, IL 60435-4912 | 2007-01-04 |
| 1043322001 | Joliet Pain Care Center | Anesthesiology | 2121 Oneida St, #304, Joliet, IL 60435 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775770 | Regenerative Pain & Spine LLC | Anesthesiology | 2122 W Devon Ave, Chicago, IL 60659-3581 | 2020-09-22 |
| 1215552880 | Babu Prasad, Md | Anesthesiology | 2035 W Iles Ave Ste A, Springfield, IL 62704-7000 | 2020-06-10 |
| 1093330516 | Modern Pain Consultants | Anesthesiology | 1802 N Division St Ste 605, Morris, IL 60450-3133 | 2020-06-10 |
| 1255956777 | Modern Pain Consultants | Anesthesiology | 1890 Silver Cross Blvd Ste 315, New Lenox, IL 60451-9605 | 2020-06-10 |
| 1144844036 | Interventional Pain Medicine of Chicago Sc | Anesthesiology | 4433 W Touhy Ave Ste 235, Lincolnwood, IL 60712-1830 | 2020-06-05 |
| 1720627862 | Mm Infusions LLC | Anesthesiology | 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 | 2020-01-06 |
| 1538719778 | Cpc Surgical Suite LLC | Anesthesiology | 555 W Court St Ste 100, Kankakee, IL 60901-3673 | 2019-09-19 |
| 1659854008 | Rich Noren LLC | Anesthesiology | 9000 Waukegan Rd Ste 12, Morton Grove, IL 60053-2127 | 2018-09-12 |
| 1003336470 | Vertex Anesthesia LLC | Anesthesiology | 10 Orland Square Dr # 10-c, Orland Park, IL 60462-3207 | 2017-06-26 |
| 1306386644 | Advanced Pain and Anesthesia Consultants,pc | Anesthesiology | 5215 N California Ave Ste F715, Chicago, IL 60625-7014 | 2017-03-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.