MEDICARE: NATU R. PATEL M.D.S.C.

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	207RI0200X	Infectious Disease Physician		IL

General Provider Information

NPI Number	:	1245453521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATU R. PATEL M.D.S.C.

Provider Business Mailing Address
First Line	:	3441 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4841
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3441 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4841
Country	:	US
Telephone Number	:	773-772-6418
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATU R PATEL
Credential	:	M.D.
Telephone Number	:	773-772-6418

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	12/10/2007

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