Individual
NEHA S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN
Contact information
Practice address
7435 W. TALCOTT AVENUE AMITA HEALTH RESURRECTION MEDICA, CHICAGO, IL 60631
(773) 990-5164
Mailing address
7435 W. TALCOTT AVENUE AMITA HEALTH RESURRECTION MEDICA, CHICAGO, IL 60631
(773) 990-5164
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-004692
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0451514334
BCBS PROVIDER ID#
IL
Enumeration date
09/09/2007
Last updated
01/14/2021
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