Provider Demographics
NPI:1568776649
Name:PATEL, SAPAN (DPT)
Entity Type:Individual
Prefix:
First Name:SAPAN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 TEAL CT
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-3156
Mailing Address - Country:US
Mailing Address - Phone:847-800-4319
Mailing Address - Fax:224-232-0302
Practice Address - Street 1:704 TEAL CT
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-3156
Practice Address - Country:US
Practice Address - Phone:847-800-4319
Practice Address - Fax:224-232-0302
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251X0800X
IL070.017892225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic