MEDICARE: NILAY PATEL DDS

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	122300000X	Dentist	019035293	IL
2	122300000X	Dentist	2901601790	MI

General Provider Information

NPI Number	:	1558055608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NILAY PATEL DDS

Provider Business Mailing Address
First Line	:	7721 CROOKED COVE ST
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-4072
Country	:	US
Telephone Number	:	269-348-5758
Fax Number	:

Provider Business Practice Location Address
First Line	:	3712 N SOUTHPORT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-6889
Country	:	US
Telephone Number	:	773-281-8989
Fax Number	:

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

Provider Enumeration Date	:	06/02/2023
Last Update Date	:	10/21/2025

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Directions to “ NILAY PATEL DDS” Practice Location

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