Provider Demographics
NPI:1750371514
Name:PATEL, RINA NAVINCHANDRA (DDS)
Entity type:Individual
Prefix:DR
First Name:RINA
Middle Name:NAVINCHANDRA
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 N COUNTRYSIDE DR
Mailing Address - Street 2:#120
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-1977
Mailing Address - Country:US
Mailing Address - Phone:847-358-6014
Mailing Address - Fax:847-358-6014
Practice Address - Street 1:2680 BELVIDERE RD
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-6006
Practice Address - Country:US
Practice Address - Phone:847-360-3045
Practice Address - Fax:847-360-0597
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21328122300000X
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist