Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | IL |
NPI | 1063442671 |
---|---|
Provider Name | Dr. Natubhai R Patel |
First Address | Roselle, IL 60172-4910 |
Second Address | Chicago, IL 60647-4841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D13381 | (02) | IL |