Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 070014609 | IL |
N | 225100000X | Physical Therapist | 291867 | CA |
N | 2251N0400X | Physical Therapist - Neurology | 11670-024 | WI |
NPI | 1346519246 |
---|---|
Provider Name | Monika Patel |
First Address | Chicago, IL 60606-5808 |
Second Address | Chicago, IL 60606-5900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2011 |
Last Update Date | 04/10/2016 |