BHAVISHA PATEL


Address: 1850 Gateway Dr, Kishhealth System Physician Group, Sycamore, IL 60178-3192
Phone: (815) 758-8671

BHAVISHA PATEL (NPI# 1407134505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407134505
Entity Type Individual
Full Name BHAVISHA PATEL
Credential M.D.
Practice Address 1850 Gateway Dr
Kishhealth System Physician Group
Sycamore
IL 60178-3192
Practice Telephone (815) 758-8671
Practice Fax Number 8157585491
Mailing Telephone 8157588671
Mailing Fax Number 8157585491
Enumeration Date 2011-07-25
Last Update Date 2018-02-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 036140644 IL Allopathic & Osteopathic Physicians
N 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
036140644 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
IL 036140644 05
IL MEDICARE GROUP IL6310 01
IL MEDICARE INDIVIDUAL F400321084 01

Other Providers BHAVISHA PATEL

NPI Name Taxonomy Address Enumeration
1871018622 Bhavisha Patel Optometrist 550 Peachtree St Ne Ste 1500, Atlanta, GA 30308-2248 2017-08-13
1285093435 Bhavisha Patel Pharmacist 1029 Woodview Pl, San Jose, CA 95120-3233 2016-02-16
1861681165 Bhavisha P Patel Dentist 605 Broadway Ste 301, Saugus, MA 01906-3200 2007-10-23
1417307026 Bhavisha Patel Speech-Language Pathologist 2221 W Detroit St, Broken Arrow, OK 74012-3628 2016-06-14
1447667688 Bhavisha Patel Dentist 2501 W Pierson Rd, Flint, MI 48504 2014-07-21
1851664759 Bhavisha Jigar Patel Physical Therapy Assistant 1449 Highway 6, Suite# 260, Sugar Land, TX 77478-5145 2012-02-23
1821383795 Bhavisha A. Patel Internal Medicine 110 Irving St Nw, Department of Hematology/oncology, Washington, DC 20010-3017 2011-06-18

Office Location

Street Address 1850 GATEWAY DR
KISHHEALTH SYSTEM PHYSICIAN GROUP
City SYCAMORE
State IL
Zip Code 60178-3192

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023018322 Asra F Khan Family Medicine 1850 Gateway Dr, Sycamore, IL 60178-3192 2005-07-28
1528601127 Michelle L Gosnell Nurse Practitioner 1850 Gateway Dr, Sycamore, IL 60178-3192 2019-10-26
1568016335 Andi Marie Rivers Nurse Practitioner 1850 Gateway Dr, Sycamore, IL 60178-3192 2019-07-30
1457815938 Jessica Moede Nurse Practitioner 1850 Gateway Dr, Sycamore, IL 60178-3192 2019-01-29
1265903447 Kimberly J Aldis Registered Nurse 1850 Gateway Dr, Sycamore, IL 60178-3192 2018-12-16
1114401833 Jennifer Tarvestad Nurse Practitioner 1850 Gateway Dr, Sycamore, IL 60178-3192 2018-09-18
1518456003 Keelin Willits Urology 1850 Gateway Dr, Sycamore, IL 60178-3192 2018-05-09
1255853859 Ricardo Manuel De Oliveira Soares Urology 1850 Gateway Dr, Sycamore, IL 60178-3192 2017-07-14
1174067227 Jamie Gibson Nurse Practitioner 1850 Gateway Dr, Sycamore, IL 60178-3192 2016-12-08
1679933139 Kishwaukee Physician Group, Inc. Durable Medical Equipment & Medical Supplies 1850 Gateway Dr, Sycamore, IL 60178-3192 2016-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578113387 Susanne Dewey Technician 2158 W. Vance St., Sycamore, IL 60178 2019-09-13
1730745332 Nan Chinratana Phillips Registered Nurse 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 2019-05-20
1427517846 Association for Individual Development Clinic/Center 180 E. Exchange St., #202a, Sycamore, IL 60178 2019-03-15
1528508884 Mary Elizabeth Kelley Counselor 920 S Prairie Dr., F, Sycamore, IL 60178 2017-03-06
1366824005 Dekalb Hearing Services, LLC Audiologist 1630 Gateway Drive, Sycamore, IL 60178 2015-06-18
1629458625 Friedrichs Eye Ltd. Ophthalmology 2670 Dekalb Avenue, Sycamore, IL 60178 2015-06-04
1275912057 Sara Haug Counselor 324 E. Exchange St, Sycamore, IL 60178 2015-05-26
1144607862 Dekalb Surgical Services, LLC Clinic/Center 2515 Klein Road, Sycamore, IL 60178 2015-05-01
1720476963 Jennifer Calderala Registered Nurse 165 E. Plank Road, Sycamore, IL 60178 2014-12-22
1114262656 Teresa Kay Farris Nurse Practitioner 1850 Gateway Drive, Sycamore, IL 60178 2012-12-11
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649749813 Thao T Doan Allergy & Immunology 523 Sandy Ln, Libertyville, IL 60048-3553 2018-11-17
1275063695 Chicago Allergy & Asthma, LLC Allergy & Immunology 7447 W Talcott Ave Ste 308, Chicago, IL 60631-3714 2017-06-18
1982022810 Kirk Van Shepard II Allergy & Immunology 3000 N Halsted St Ste 400, Chicago, IL 60657-8480 2014-03-28
1790102176 Jennifer Christine Simonaire Allergy & Immunology 908 N Elm St Ste 205, Hinsdale, IL 60521-3637 2014-03-24
1558794446 Sarah M Boudreau-romano Allergy & Immunology 1300 N Lake Shore Dr Apt 3a, Chicago, IL 60610-2157 2013-08-14
1821420209 Donald Ernest Temple Allergy & Immunology 110 E Delaware Pl, Chicago, IL 60611-1481 2013-08-07
1013259647 Melissa Lee Robinson Allergy & Immunology 430 Pennsylvania Ave Ste 220, Glen Ellyn, IL 60137 2013-03-21
1871859645 Sarah Garon Allergy & Immunology 1460 N Halsted St Ste 506, Chicago, IL 60642-2605 2012-04-06
1386919421 Henry J. Dold Allergy & Immunology 1300 Kenilworth Av, Glenview, IL 60025-2204 2012-03-21
1386919538 Diosdado T Lim Allergy & Immunology 7520 W. Ute Ln, Palos Heights, IL 60463-2076 2012-03-20
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Competitor

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City SYCAMORE
Zip Code 60178

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Dataset Information

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.

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