Healthcare Provider Details

I. General information

NPI: 1922034164
Provider Name (Legal Business Name): WOODFIELD PHYSICAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N PLAZA DR SUITE 325
SCHAUMBURG IL
60173-6021
US

IV. Provider business mailing address

1111 PLAZA DR SUITE 325
SCHAUMBURG IL
60713-4901
US

V. Phone/Fax

Practice location:
  • Phone: 847-932-1079
  • Fax: 847-932-1082
Mailing address:
  • Phone: 847-932-1079
  • Fax: 847-932-1082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NEEL PATEL
Title or Position: OWNER
Credential:
Phone: 847-932-1076