Provider Demographics
NPI:1568952182
Name:PATEL, PRIYA N (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:PRIYA
Middle Name:N
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3202 N KILDARE AVE APT 1N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4550
Mailing Address - Country:US
Mailing Address - Phone:630-439-6849
Mailing Address - Fax:
Practice Address - Street 1:3202 N KILDARE AVE APT 1N
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4550
Practice Address - Country:US
Practice Address - Phone:630-439-6849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist