MEDICARE: D&A MEDICAL LTD

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	261Q00000X	Clinic/Center	036-109927	IL

General Provider Information

NPI Number	:	1730465139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D&A MEDICAL LTD

Provider Business Mailing Address
First Line	:	680 N LAKE SHORE DR STE 930
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-8700
Country	:	US
Telephone Number	:	312-861-3911
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 N LAKE SHORE DR STE 930
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-8700
Country	:	US
Telephone Number	:	312-861-3911
Fax Number	:	312-861-3912

Authorized Official
Title or Position	:	OWNER
Name	:	TORAL D PATEL
Credential	:	MD
Telephone Number	:	312-861-3911

Provider Enumeration Date	:	10/29/2011
Last Update Date	:	09/22/2020

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Directions to “D&A MEDICAL LTD ” Practice Location

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