Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 01084982A | IN |
N | 207K00000X | Allergist & Immunologist | NA | IL |
N | 2080P0201X | Pediatric Allergist | NA | IL |
NPI | 1841585692 |
---|---|
Provider Name | Dr. Pooja Oza Patel |
First Address | Wheaton, IL 60189-5928 |
Second Address | Merrillville, IN 46410-7057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2011 |
Last Update Date | 26/02/2021 |