Provider Demographics
NPI:1235350430
Name:PATEL, SANGEETA RAMESHCHANDRA (PT)
Entity Type:Individual
Prefix:MISS
First Name:SANGEETA
Middle Name:RAMESHCHANDRA
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 N KINGSBURY ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-7431
Mailing Address - Country:US
Mailing Address - Phone:312-587-3545
Mailing Address - Fax:
Practice Address - Street 1:5015 W 65TH ST
Practice Address - Street 2:
Practice Address - City:BEDFORD PARK
Practice Address - State:IL
Practice Address - Zip Code:60638-5701
Practice Address - Country:US
Practice Address - Phone:708-924-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist