MEDICARE: DR. BIREN PATEL OD

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	152W00000X	Optometrist	046.011478	IL

General Provider Information

NPI Number	:	1124627880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BIREN PATEL OD

Provider Business Mailing Address
First Line	:	1824 CHURCHILL LN
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-1303
Country	:	US
Telephone Number	:	630-998-0948
Fax Number	:

Provider Business Practice Location Address
First Line	:	1824 CHURCHILL LN
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-1303
Country	:	US
Telephone Number	:	630-998-0948
Fax Number	:	312-878-5608

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

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	11/03/2025

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Directions to “ DR. BIREN PATEL OD” Practice Location

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