Ravikumar Patel
Ravikumar Patel is a Family Practice in Lyons, Illinois. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in Illinois and New York.
- Years since qualifying
- 14
- Licensed in
- IL, NY
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
4136 Rose AveLyons, IL 60534-1053
Phone: (708) 307-1744
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (NY) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 036177970 (IL) |
Record details
| NPI number | 1346945185 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 3, 2023 |
| Last updated in NPPES | May 21, 2026 |
| Certification date | May 21, 2026 |
| Mailing address | 4136 Rose Ave, Lyons, IL 60534-1053 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |