Basic Information
| Provider Information | |||||||||
| NPI: | 1285890236 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | PARAV | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5215 N CALIFORNIA AVE STE 601 | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606258564 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7738783627 | ||||||||
| FaxNumber: | 7739891669 | ||||||||
| Practice Location | |||||||||
| Address1: | 5215 N CALIFORNIA AVE STE 601 | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606258564 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7738783627 | ||||||||
| FaxNumber: | 7739891669 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2008 | ||||||||
| LastUpdateDate: | 10/30/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 10/30/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 125053373 | IL | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.