MEDICARE: BRIJESHKUMAR PATEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center	ADS2402065	IL

General Provider Information

NPI Number	:	1033987219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIJESHKUMAR PATEL

Provider Business Mailing Address
First Line	:	6400 WOODWARD AVE STE A
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-2369
Country	:	US
Telephone Number	:	630-984-9277
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 WOODWARD AVE STE A
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-2369
Country	:	US
Telephone Number	:	630-984-9277
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	12/18/2023

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Directions to “ BRIJESHKUMAR PATEL ” Practice Location

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