Patel, Disha
Patel, Disha is an sole proprietor health care provider with primary practice located at 17800 Kedzie Ave , Hazel Crest IL 60429-2029. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Patel, Disha can be contacted via phone (708) 213-3829.Contact Information
Primary practice address
17800 Kedzie Ave
Hazel Crest IL 60429-2029
Phone: (708) 213-3829
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070020488 | Illinois |
Profile Details
| NPI number | 1700208063 |
|---|---|
| LBN Legal business name | Patel, Disha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2014 |
| Last updated | Jan 6th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700208063 | NPPES |
| Illinois | MEDICAID | 070020488 |
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