NPI Code Details Logo

NPI 1780259101

NPI 1780259101 : UMANGI ASHVIN PATEL MD : CHICAGO, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780259101
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    UMANGI ASHVIN PATEL MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/26/2021
-----------------------------------------------------
    Last Update Date     |    06/26/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1950 W POLK ST 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60612-3723
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    312-864-6000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    351 WINSLOW WAY 
-----------------------------------------------------
    City                 |    LAKE IN THE HILLS
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60156-6228
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207W00000X
-----------------------------------------------------
    Taxonomy Name        |    Ophthalmology Physician
-----------------------------------------------------
    License Number       |    125078584
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207WX0108X
-----------------------------------------------------
    Taxonomy Name        |    Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
-----------------------------------------------------
    License Number       |    036168638
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.