Provider Demographics
NPI:1366036907
Name:PATEL, HELI
Entity Type:Individual
Prefix:
First Name:HELI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 S BLOOMINGDALE RD
Mailing Address - Street 2:STE 11
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1216
Mailing Address - Country:US
Mailing Address - Phone:847-809-8550
Mailing Address - Fax:
Practice Address - Street 1:125 S BLOOMINGDALE RD STE 11
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1216
Practice Address - Country:US
Practice Address - Phone:847-466-5420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.024868225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist