Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 036.146855 | IL |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MT212652 | PA |
NPI | 1922369669 |
---|---|
Provider Name | Dr. Neeraj M Patel |
First Address | Chicago, IL 60611 |
Second Address | Chicago, IL 60611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2012 |
Last Update Date | 13/09/2019 |