MEDICARE: PRIYANKA PATEL DMD

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	019.028949	IL

General Provider Information

NPI Number	:	1700172657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIYANKA PATEL DMD

Provider Business Mailing Address
First Line	:	424 W FULLERTON PKWY FL 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2812
Country	:	US
Telephone Number	:	773-404-0101
Fax Number	:

Provider Business Practice Location Address
First Line	:	424 W FULLERTON PKWY FL 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2812
Country	:	US
Telephone Number	:	773-404-0101
Fax Number	:

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

Provider Enumeration Date	:	06/20/2011
Last Update Date	:	03/19/2026

Similar Medicare Providers

1619968880 — DR. LINH THUY TRAN DMD
Practice Location Address:

424 W FULLERTON PKWY
CHICAGO, IL
60614-2812

Practice Phone: 773-404-0101
Practice Fax: 773-404-1260

1609906270 — DR. SEONG JU KIM DDS
Practice Location Address:

424 W FULLERTON PKWY
CHICAGO, IL
60614-2812

Practice Phone: 773-404-0101
Practice Fax:

1548436959 — LINCOLN PARK DENTAL CARE LTD
Practice Location Address:

424 W FULLERTON PKWY
CHICAGO, IL
60614-2812

Practice Phone: 773-404-0101
Practice Fax: 773-404-1260

1518949692 — I.F.OPTICAL CO., INC.
Practice Location Address:

2812 W TOUHY AVE
CHICAGO, IL
60645-2902

Practice Phone: 773-761-8969
Practice Fax: 773-761-3601

1982795795 — EURO AMERICAN MED SC
Practice Location Address:

4925 N PULASKI RD
CHICAGO, IL
60630-2812

Practice Phone: 773-478-9445
Practice Fax: 773-478-9424

1346384450 — MODERN OPTICAL EYEWEAR, INC.
Practice Location Address:

2812 W FOSTER AVE
CHICAGO, IL
60625-3506

Practice Phone: 773-784-6300
Practice Fax: 773-360-9589

Directions to “ PRIYANKA PATEL DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.