MEDICARE: JOEL 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
1	183500000X	Pharmacist	051.296732	IL

General Provider Information

NPI Number	:	1598107724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL PATEL

Provider Business Mailing Address
First Line	:	8349 N NEWLAND AVE
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-2641
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1028 S ELMHURST RD
Second Line	:
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-4240
Country	:	US
Telephone Number	:	847-437-1858
Fax Number	:

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

Provider Enumeration Date	:	07/30/2013
Last Update Date	:	07/30/2013

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Directions to “ JOEL PATEL ” Practice Location

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