Provider Demographics
NPI:1952565541
Name:PATEL, REEMA C (PT)
Entity type:Individual
Prefix:MRS
First Name:REEMA
Middle Name:C
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:361 S FRONTAGE RD
Mailing Address - Street 2:#124
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527
Mailing Address - Country:US
Mailing Address - Phone:630-920-4670
Mailing Address - Fax:630-920-4689
Practice Address - Street 1:1540 W LAKE ST
Practice Address - Street 2:PREMIER PHYSICAL THERAPY
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172
Practice Address - Country:US
Practice Address - Phone:630-295-9900
Practice Address - Fax:630-295-9909
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2010-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL070012110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist