Individual
MANALI A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
473 W ARMY TRAIL RD STE 105, BLOOMINGDALE, IL 60108-2674
(630) 242-2455
(630) 242-2435
Mailing address
473 W ARMY TRAIL RD STE 105, BLOOMINGDALE, IL 60108-2674
(630) 242-2455
(630) 242-2435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036138659
IL
207RB0002X
Obesity Medicine (Internal Medicine) Physician
70031274
IL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
036138659
IL
208M00000X
Hospitalist Physician
036138659
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036138659
MEDICAID PROVIDER NUMBER
IL
05
—
036138659
—
IL
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400326168
MEDICARE PTAN INDIVIDUAL
IL
01
—
F401260602
MEDICARE PTAN
IL
Enumeration date
03/26/2013
Last updated
02/25/2026
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