Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 036-108987 | IL |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 036-108987 | IL |
NPI | 1952425118 |
---|---|
Provider Name | Dr. Urjeet A. Patel |
First Address | Chicago, IL 60622-6001 |
Second Address | Chicago, IL 60612-3723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 28/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036-108987 | (05) | IL |
H65097 | (02) | IL |