Provider Demographics
NPI:1134465032
Name:PATEL, BRIJESH (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIJESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 BEAU DR
Mailing Address - Street 2:APT/SUITE
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5879
Mailing Address - Country:US
Mailing Address - Phone:847-293-1957
Mailing Address - Fax:
Practice Address - Street 1:875 BEAU DR
Practice Address - Street 2:APT/SUITE
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-5879
Practice Address - Country:US
Practice Address - Phone:847-293-1957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012329111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor