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NPI Code Detail

MEDICARE: DR. SEJAL PATEL M.D.

MEDICARE: DR. SEJAL PATEL M.D.
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
1207Q00000XFamily Medicine Physician125.058876IL

General Provider Information

NPI Number : 1457663320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEJAL PATEL M.D.
Provider Business Mailing Address
First Line : 3525 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60653-1019
Country : US
Telephone Number : 312-945-4040
Fax Number : 312-945-4011
Provider Business Practice Location Address
First Line : 3525 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60653-1019
Country : US
Telephone Number : 312-945-4040
Fax Number : 312-945-4011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2010
Last Update Date : 06/12/2024

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Directions to “ DR. SEJAL PATEL M.D.” Practice Location

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