Provider Demographics
NPI:1669698825
Name:PATEL, NILAY A (MD)
Entity type:Individual
Prefix:DR
First Name:NILAY
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:39W696 HENRY DAVID THOREAU PL
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-6574
Mailing Address - Country:US
Mailing Address - Phone:630-933-4220
Mailing Address - Fax:630-933-1162
Practice Address - Street 1:CENTRAL DUPAGE HOSPITAL
Practice Address - Street 2:25 WINFIELD ROAD
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190
Practice Address - Country:US
Practice Address - Phone:630-933-4240
Practice Address - Fax:630-933-1162
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360974192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL91975Medicaid
ILH47822Medicare UPIN