Provider Demographics
NPI:1154565893
Name:PATEL, NILANJANA (MD)
Entity type:Individual
Prefix:
First Name:NILANJANA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:31 ARLINGTON HEIGHTS ROAD
Mailing Address - Street 2:BRIGHT LIGHT RADIOLOGY
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-1405
Mailing Address - Country:US
Mailing Address - Phone:847-439-2315
Mailing Address - Fax:847-439-3935
Practice Address - Street 1:31 ARLINGTON HEIGHTS ROAD
Practice Address - Street 2:BRIGHT LIGHT RADIOLOGY
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-1405
Practice Address - Country:US
Practice Address - Phone:847-439-2315
Practice Address - Fax:847-439-3935
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0360508102085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD14842Medicare UPIN
ILL99765Medicare PIN