Provider Demographics
NPI:1518255827
Name:PATEL, BHUMIKABEN BABULAL
Entity Type:Individual
Prefix:
First Name:BHUMIKABEN
Middle Name:BABULAL
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 1:736, BLUFF STREET
Mailing Address - Street 2:APT 204
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188
Mailing Address - Country:US
Mailing Address - Phone:630-779-8949
Mailing Address - Fax:
Practice Address - Street 1:736 BLUFF ST
Practice Address - Street 2:APT 204
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-3406
Practice Address - Country:US
Practice Address - Phone:630-779-8949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070018444225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist