Provider Demographics
NPI:1891340345
Name:PATEL, NILESHKUMAR CHANDRAKANT
Entity Type:Individual
Prefix:DR
First Name:NILESHKUMAR
Middle Name:CHANDRAKANT
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 1:2037 W PARKVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2646
Mailing Address - Country:US
Mailing Address - Phone:217-994-3819
Mailing Address - Fax:
Practice Address - Street 1:1701 N BUFFALO GROVE RD
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-6888
Practice Address - Country:US
Practice Address - Phone:847-955-9361
Practice Address - Fax:847-955-9365
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.300708183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist