Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 125063352 | IL |
Y | 2081S0010X | Sports Medicine | 036.147721 | IL |
Y | 213ES0000X | Sports Medicine | 036.147721 | IL |
NPI | 1104264506 |
---|---|
Provider Name | Yogen Patel |
First Address | Elmhurst, IL 60126-5628 |
Second Address | Elmhurst, IL 60126-5626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2013 |
Last Update Date | 06/04/2021 |