Provider Demographics
NPI:1982955423
Name:PATEL, SONAL V (PT)
Entity Type:Individual
Prefix:
First Name:SONAL
Middle Name:V
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SONALBEN
Other - Middle Name:V
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 OLD OAK CIR
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-3126
Mailing Address - Country:US
Mailing Address - Phone:224-542-9977
Mailing Address - Fax:
Practice Address - Street 1:1260 S ELMHURST RD
Practice Address - Street 2:APT 212
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-5271
Practice Address - Country:US
Practice Address - Phone:224-542-9977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.018941225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist