Provider Demographics
NPI:1639822737
Name:PRI CHICAGO PLLC
Entity type:Organization
Organization Name:PRI CHICAGO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NEELESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-730-3276
Mailing Address - Street 1:188 W INDUSTRIAL DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1608
Mailing Address - Country:US
Mailing Address - Phone:630-941-8190
Mailing Address - Fax:847-510-0545
Practice Address - Street 1:188 W INDUSTRIAL DR STE 112
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-1608
Practice Address - Country:US
Practice Address - Phone:847-730-3276
Practice Address - Fax:847-201-2543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty