Healthcare Provider Details

I. General information

NPI: 1952425118
Provider Name (Legal Business Name): URJEET A. PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 N SAINT CLAIR ST STE 1200
CHICAGO IL
60611-3068
US

IV. Provider business mailing address

676 N SAINT CLAIR ST STE 1200
CHICAGO IL
60611-3068
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-8182
  • Fax: 312-695-4303
Mailing address:
  • Phone: 312-695-8182
  • Fax: 312-695-4303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number036-108987
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number036-108987
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: