MEDICARE: DR. NEEPA J PATEL MD

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	2084N0400X	Neurology Physician	N9397	TX

General Provider Information

NPI Number	:	1003082934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEEPA J PATEL MD

Provider Business Mailing Address
First Line	:	1725 W HARRISON ST STE 755
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3863
Country	:	US
Telephone Number	:	312-563-2030
Fax Number	:	312-563-2024

Provider Business Practice Location Address
First Line	:	1725 W HARRISON ST STE 755
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3863
Country	:	US
Telephone Number	:	312-563-2030
Fax Number	:	312-563-2024

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	03/18/2021

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