Imtiyaz D Patel

NPI #1417456963 in Niles, Illinois

Provider Information

NPI Number: 1417456963
Entity Type: Individual
Name: Imtiyaz D Patel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 9, 2018
Last Updated: Feb 9, 2018

Practice Location

Address: 7000 N NEWARK AVE
City: Niles
State: Illinois
ZIP Code: 60714-4577
Phone: (847) 647-8332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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