Provider Demographics
NPI:1700405917
Name:PATEL, NEIL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 DEERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:HAWTHORN WOODS
Mailing Address - State:IL
Mailing Address - Zip Code:60047-6508
Mailing Address - Country:US
Mailing Address - Phone:312-415-6152
Mailing Address - Fax:401-652-0513
Practice Address - Street 1:1128 TOWER LN
Practice Address - Street 2:
Practice Address - City:BENSENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60106-1028
Practice Address - Country:US
Practice Address - Phone:312-415-6152
Practice Address - Fax:401-652-0513
Is Sole Proprietor?:No
Enumeration Date:2020-04-09
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.291957183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist