BHAVISHA PATEL (NPI# 1407134505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036140644 | 05 | |
IL | MEDICARE GROUP | IL6310 | 01 |
IL | MEDICARE INDIVIDUAL | F400321084 | 01 |
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 |
Street Address |
1850 GATEWAY DR KISHHEALTH SYSTEM PHYSICIAN GROUP |
City | SYCAMORE |
State | IL |
Zip Code | 60178-3192 |
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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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 |
Find all providers in zip 60178 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
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. |
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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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.