Provider Demographics
NPI:1275735250
Name:PATEL, NEIL N (DO)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:N
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62702-5317
Mailing Address - Country:US
Mailing Address - Phone:217-757-6868
Mailing Address - Fax:217-757-6869
Practice Address - Street 1:421 N 9TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62702-5317
Practice Address - Country:US
Practice Address - Phone:217-757-6868
Practice Address - Fax:217-757-6869
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58.001299207T00000X
IL036140034207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH456921Medicare PIN