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NPI Code Detail

MEDICARE: SEJAL PATEL

MEDICARE:   SEJAL  PATEL
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
1207RN0300XNephrology Physician036111450IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396785291
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEJAL PATEL
Provider Business Mailing Address
First Line : 210 S DESPLAINES ST
Second Line :
City : CHICAGO
State : IL
Zip : 60661-5500
Country : US
Telephone Number : 312-654-2700
Fax Number : 312-654-9930
Provider Business Practice Location Address
First Line : 1585 BARRINGTON RD
Second Line : DOCTORS BLDG 2 STE 501
City : HOFFMAN ESTATES
State : IL
Zip : 60169-1090
Country : US
Telephone Number : 847-420-5150
Fax Number : 312-654-9930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 11/22/2024

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Directions to “ SEJAL PATEL ” Practice Location

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