Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 070.025941 | IL |
NPI | 1356014021 |
---|---|
Provider Name | Neerali Patel |
First Address | Plainfield, IL 60585-2119 |
Second Address | Evanston, IL 60201-1780 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2021 |
Last Update Date | 28/07/2021 |