Individual
DR. NEAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-8297
Mailing address
1236 S FEDERAL ST, UNIT B, CHICAGO, IL 60605-4701
(662) 428-6799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301095003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301095003
MEDICAL LICENSE #
MI
Enumeration date
07/01/2009
Last updated
02/02/2012
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