Provider Demographics
NPI:1710219258
Name:PATEL-MILLER, AVANI ASHOK (DC, ND)
Entity Type:Individual
Prefix:DR
First Name:AVANI
Middle Name:ASHOK
Last Name:PATEL-MILLER
Suffix:
Gender:F
Credentials:DC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 S WACKER DR
Mailing Address - Street 2:SUITE #300
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-4424
Mailing Address - Country:US
Mailing Address - Phone:312-258-1338
Mailing Address - Fax:312-893-5895
Practice Address - Street 1:400 N MCCLURG CT APT 2206
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4377
Practice Address - Country:US
Practice Address - Phone:650-678-5669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor