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Bhavisha Patel, MD
Allergy & Immunology Physician in Sycamore, Illinois
NPI 1407134505

Bhavisha Patel is an Allergy & Immunology Physician based in Sycamore, IL. Bhavisha Patel practices in Sycamore, IL and has the professional credentials of MD. The NPI Number for Bhavisha Patel is 1407134505 and holds a License No. 036140644 (Illinois).

The current practice location address for Bhavisha Patel is 1850 Gateway Dr, Sycamore, IL and can be reached out via phone at 815-758-8671 and via fax at 815-758-5491.

Location: 1850 Gateway Dr, Sycamore, IL, 60178-3192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407134505
Provider Name
Bhavisha Patel
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1850 Gateway Dr, Sycamore, IL, 60178-3192
Phone Number
815-758-8671
Fax Number
815-758-5491
Provider Enumeration Date
07/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036140644 05 IL
IL6310 01 IL MEDICARE GROUP
F400321084 01 IL MEDICARE INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
1850 Gateway Dr
City
Sycamore
State
Illinois
Zip
60178-3192
Phone Number
815-758-8671
Fax Number
815-758-5491
person
Provider Business Mailing Address Details
Address
1850 Gateway Dr
City
Sycamore
State
Illinois
Zip
60178-3192
Phone Number
815-758-8671
Fax Number
815-758-5491
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
-
Taxonomy
207K00000X
License No.
036140644 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Allergy & Immunology
Taxonomy
207RA0201X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036140644 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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