Provider Demographics
NPI:1275887325
Name:PATEL, MEHAL D (DC)
Entity Type:Individual
Prefix:
First Name:MEHAL
Middle Name:D
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 1:17 E NORTHWEST HWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-3597
Mailing Address - Country:US
Mailing Address - Phone:847-907-9201
Mailing Address - Fax:
Practice Address - Street 1:17 E NORTHWEST HWY
Practice Address - Street 2:SUITE 4
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-3597
Practice Address - Country:US
Practice Address - Phone:847-907-9201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-27
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor