Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 036-128374 | IL |
N | 2086S0120X | Pediatric Surgery | 41777 | CO |
N | 2086S0120X | Pediatric Surgery | PT13390 | ND |
NPI | 1013004670 |
---|---|
Provider Name | Jateen C Patel |
First Address | Hoffman Estates, IL 60169-1019 |
Second Address | Hoffman Estates, IL 60169-1019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 05/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036-128374 | (05) | IL |
20333536 | (05) | CO |