Organization Active NPI

Hasu D Patel MD SC

  • Obstetrics & Gynecology Physician
  • Des Plaines, IL
National Provider Identifier
1255625638
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036050622 Issued in IL
Legal business name
HASU D PATEL MD SC
Practice address
30 N River Rd
Suite # 103
Des Plaines, IL 60016
Phone
(847) 803-3610
Fax
(847) 803-3613
NPI assigned
Jun 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Hasumati D. Patel, M.D.
Title
M.D.
Phone
(847) 803-3610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 036050622 IL Primary

Addresses

Primary practice location

30 N River Rd
Suite # 103
Des Plaines, IL 60016

Mailing address

30 N River Rd
Suite # 103
Des Plaines, IL 60016
Phone (847) 803-3610

Other identifiers 1

IdentifierTypeStateIssuer
036050622MedicaidIL

National Provider Directory

National Provider Directory

Locations

30 N River Rd
Ste 103
Des Plaines, IL 60016
Phone (847) 803-3610

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1255625638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N RIVER RD",
            "address_2": "SUITE # 103",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-803-3610",
            "fax_number": "847-803-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N RIVER RD",
            "address_2": "SUITE # 103",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-803-3610",
            "fax_number": "847-803-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASU D PATEL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HASUMATI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "847-803-3610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036050622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050622",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.