Individual
NEELA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 W 203RD ST, SUITE 201, OLYMPIA FIELDS, IL 60461-1180
(708) 679-2880
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-112885
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL5686047
MEDICARE PTAN
IL
05
—
PAYEE 2
—
IL
Enumeration date
12/05/2006
Last updated
03/12/2021
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