Organization Active NPI

Shashikant and Kokila Patel MD SC

  • Family Medicine Physician
  • Palatine, IL
National Provider Identifier
1386748432
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036058117 Issued in IL
Legal business name
SHASHIKANT AND KOKILA PATEL MD SC
Practice address
434 E Northwest Highway
Palatine, IL 60074
Phone
(847) 358-5624
Fax
(847) 358-5624
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Mr. Shashikant H Patel, MD
Title
President
Phone
(847) 428-3262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 036058117 IL Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036050325 IL

Addresses

Primary practice location

434 E Northwest Highway
Palatine, IL 60074

Mailing address

14 Pentwater Drive
South Barrington, IL 60010
Phone (847) 428-3262

National Provider Directory

National Provider Directory

Locations

417 Dundee Ave
Elgin, IL 60120
Phone (847) 488-9273

434 E Northwest Hwy
Palatine, IL 60074
Phone (847) 358-5624

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1386748432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PENTWATER DRIVE",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-428-3262",
            "fax_number": "866-591-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 E NORTHWEST HIGHWAY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60074",
            "telephone_number": "847-358-5624",
            "fax_number": "847-358-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASHIKANT AND KOKILA PATEL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHASHIKANT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-428-3262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036058117",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036050325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.