Provider Demographics
NPI:1699865782
Name:PATEL, RUPANGI K
Entity type:Individual
Prefix:MRS
First Name:RUPANGI
Middle Name:K
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 E HIGGINS RD
Mailing Address - Street 2:SUITE 113A
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4797
Mailing Address - Country:US
Mailing Address - Phone:847-240-2000
Mailing Address - Fax:847-240-2044
Practice Address - Street 1:830 E HIGGINS RD
Practice Address - Street 2:SUITE 113A
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4797
Practice Address - Country:US
Practice Address - Phone:847-240-2000
Practice Address - Fax:847-240-2044
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212922Medicare ID - Type UnspecifiedWPS MEDICARE B