Provider Demographics
NPI:1659024305
Name:PATEL, NIRAJ
Entity Type:Individual
Prefix:
First Name:NIRAJ
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 S ARLINGTON HEIGHTS RD STE 225
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4144
Mailing Address - Country:US
Mailing Address - Phone:872-222-7830
Mailing Address - Fax:
Practice Address - Street 1:2010 S ARLINGTON HEIGHTS RD STE 225
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4144
Practice Address - Country:US
Practice Address - Phone:872-222-7830
Practice Address - Fax:872-228-9615
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study