Provider Demographics
NPI:1710315841
Name:PATEL, BIJAL DILIP (DPT)
Entity Type:Individual
Prefix:
First Name:BIJAL
Middle Name:DILIP
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:326 N MICHIGAN AVE
Practice Address - Street 2:SUITE 324
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-3714
Practice Address - Country:US
Practice Address - Phone:312-229-5271
Practice Address - Fax:312-578-0795
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14423225100000X
IL070.022104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC14423OtherNC PHYSICAL THERAPY LICENSE NUMBER