Provider Demographics
NPI:1558636563
Name:PATEL, SANJENI RAMESH (DC, MPH)
Entity Type:Individual
Prefix:DR
First Name:SANJENI
Middle Name:RAMESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:DC, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 NANTUCKET DR
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-4762
Mailing Address - Country:US
Mailing Address - Phone:313-506-4543
Mailing Address - Fax:
Practice Address - Street 1:7525 NANTUCKET DR
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-4762
Practice Address - Country:US
Practice Address - Phone:313-506-4543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor