Kevin H Patel (NPI# 1043519697, PAC ID# 7315261310) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1043519697 |
| PAC ID by PECOS | 7315261310 |
| Professional Enrollment ID | I20160818002286 |
| Full Name | Kevin H Patel |
| Organization Legal Name | GAILEY EYE CLINIC, LTD |
| Address |
4100 Veterans Dr Ottawa IL 61350-9662 |
| Phone Number | 8154344200 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2010 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 2769469337 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140179 | LITTLE COMPANY OF MARY HOSPITAL |
| 140114 | SWEDISH COVENANT HOSPITAL |
| 140300 | PROVIDENT HOSPITAL OF CHICAGO |
| 140208 | ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1901 W Harrison St, Chicago, IL 60612-3714 | 3126337292 | COOK COUNTY |
| 5912 W Cermak Rd, Cicero, IL 60804-2135 | 7087839800 | COOK COUNTY |
| 133 E Brush Hill Rd, Suite 300, Elmhurst, IL 60126-5659 | 6305711501 | RETINA ASSOCIATES LTD |
| 4100 Veterans Dr, Ottawa, IL 61350-9662 | 8154344200 | GAILEY EYE CLINIC, LTD |
| 2121 Marquette Rd, Peru, IL 61354-1588 | 8152241100 | GAILEY EYE CLINIC, LTD |
| Organization Legal Name | GAILEY EYE CLINIC, LTD |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Edward Hazlehurst | Optometry | Gailey Eye Clinic, Ltd | 1008 N Main St, Bloomington, IL 61701-1784 |
| Siya Huo | Ophthalmology | Gailey Eye Clinic, Ltd | 2501 E College Ave, Suite B, Bloomington, IL 61704-2484 |
| Stephanie Anne Loy | Optometry | Gailey Eye Clinic, Ltd | 47 E Liberty Ln, Danville, IL 61832-1440 |
| Adam D Sobin | Optometry | Gailey Eye Clinic, Ltd | 101 N Pkwy Dr, Pekin, IL 61554-3932 |
| Jennifer N Thompson | Ophthalmology | Gailey Eye Clinic, Ltd | 8800 N Orange Prairie, Peoria, IL 61615 |
| Shawn M Koehler | Optometry | Gailey Eye Clinic, Ltd | 2121 Marquette Rd, Peru, IL 61354-1588 |
| Kenneth R Barba | Ophthalmology | Gailey Eye Clinic, Ltd | 220 E 1st St, Gibson City, IL 60936-1704 |
| Thomas E L Mahaffey | Optometry | Gailey Eye Clinic, Ltd | 2435 Village Green Pl, Champaign, IL 61822-7676 |
| Robert M Quilleash | Optometry | Gailey Eye Clinic, Ltd | 834 N Seminary St, Suite 103, Galesburg, IL 61401-2897 |
| Sarah Christine Sturgill | Optometry | Gailey Eye Clinic, Ltd | 1008 N Main St, Bloomington, IL 61701-1784 |
| Street Address |
4100 VETERANS DR |
| City | OTTAWA |
| State | IL |
| Zip | 61350-9662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy A Aubry | Clinical Social Worker | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
| Craig S Laasch | Psychologist, Clinical | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
| Erik John Fossen | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Jeffrey Alan Crowhurst | Podiatry | 1100 E Norris Dr, Ottawa, IL 61350-1604 | |
| Angela C Nimke | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Neil N Pandya | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Susan M Rohr | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Anthony C Zalduendo | Radiation Oncology | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Daniel R Mueller | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Mohammed Siddiqui | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Find all physicians in zip 61350 | |||
| City | OTTAWA |
| Zip Code | 61350 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | OTTAWA + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.