Provider Demographics
NPI:1710118112
Name:PATEL, JALPA M (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JALPA
Middle Name:M
Last Name:PATEL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:CANCER TREATMENT CENTERS OF AMERICA
Mailing Address - Street 2:2361 PAYSPHERE CIRCLE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674
Mailing Address - Country:US
Mailing Address - Phone:800-322-9183
Mailing Address - Fax:414-238-2424
Practice Address - Street 1:CANCER TREATMENT CENTERS OF AMERICA
Practice Address - Street 2:2520 ELISHA AVENUE
Practice Address - City:ZION
Practice Address - State:IL
Practice Address - Zip Code:60099
Practice Address - Country:US
Practice Address - Phone:800-322-9183
Practice Address - Fax:414-238-2424
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2022-01-13
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Provider Licenses
StateLicense IDTaxonomies
IL085.003739363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant