Provider Demographics
NPI:1013118140
Name:PATEL, PARIT A (MD)
Entity Type:Individual
Prefix:
First Name:PARIT
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 N MICHIGAN AVE STE 1820
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-6707
Mailing Address - Country:US
Mailing Address - Phone:312-819-5338
Mailing Address - Fax:312-819-5337
Practice Address - Street 1:737 N MICHIGAN AVE STE 1820
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-6707
Practice Address - Country:US
Practice Address - Phone:312-819-5338
Practice Address - Fax:312-819-5337
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY264044208200000X
OH35089315208200000X
IL036133753208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery