Basic Information
| Provider Information | |||||||||
| NPI: | 1902287956 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | NAEEM | ||||||||
| MiddleName: | IQBAL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12632 S HARLEM AVE | ||||||||
| Address2: | |||||||||
| City: | PALOS HEIGHTS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604631428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7085870000 | ||||||||
| FaxNumber: | 7086237628 | ||||||||
| Practice Location | |||||||||
| Address1: | 12632 S HARLEM AVE | ||||||||
| Address2: | |||||||||
| City: | PALOS HEIGHTS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604631428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7085870000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2015 | ||||||||
| LastUpdateDate: | 06/30/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 125-066822 | IL | Y | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 036.144704 | IL | N | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.