Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036-105302 | IL |
N | 207XS0106X | Orthopaedic Hand Surgeon | 036105302 | IL |
NPI | 1083662068 |
---|---|
Provider Name | Sanjay Kirit Patari |
First Address | Hoffman Estates, IL 60169-5019 |
Second Address | Hoffman Estates, IL 60169-5019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 13/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036105302 | (05) | IL |
H65037 | (02) | IL |