NIRAL B PATEL (NPI# 1083845945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083845945 |
| Entity Type | Individual |
| Full Name | NIRAL B PATEL |
| Credential | M.D. |
| Practice Address |
360 Station Dr Crystal Lake IL 60014 |
| Mailing Address |
360 Station Dr Crystal Lake IL 60014-7978 |
| Practice Telephone | 8153386600 |
| Practice Fax Number | 8154558044 |
| Mailing Telephone | 8153386600 |
| Mailing Fax Number | 8154558044 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2018-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036136344 | IL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 036136344 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301095199 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 036136344 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Brady St, Chesaning, MI 486161086 | 9898451800 | 9898451800 |
| 10350 Haligus Rd, Huntley, IL 601429545 | 8153386600 | 8478027112 |
| 1925 Huntley Rd, West Dundee, IL 601189301 | 8153386600 | 8474265162 |
| 2507 N Richmond Rd, Mchenry, IL 600515407 | 8153386600 | 8153853255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265857510 | Niral Patel | Podiatrist | 15 Ashlyn Rd, Parsippany, NJ 07054-1201 | 2014-02-24 |
| 1750653192 | Niral Patel | Physical Therapist | 792 Walnut Ct, Bensalem, PA 19020-4324 | 2012-02-01 |
| 1487921680 | Niral Patel | Pharmacist | 6320 Albemarle Rd, Charlotte, NC 28212-3814 | 2011-11-17 |
| 1255527834 | Niral Patel | General Practice | 35 Lilac Way, Piscataway, NJ 08854-3596 | 2007-09-18 |
| 1992839682 | Niral Patel | Occupational Therapist | The Wellington At North Richland Hills, 6150 Glenview Drive, North Richland Hills, TX 76180 | 2007-03-15 |
| 1912923079 | Niral Patel | Internal Medicine | 11600 Lakeside Village Lane, Windermere, FL 34786 | 2006-07-14 |
| 1730798745 | Niral Patel | Dentist | 1247 S Cedar Crest Blvd Ste 300, Allentown, PA 18103-6358 | 2020-07-26 |
| 1083239297 | Niral Priyadarshi Patel | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-06-12 |
| 1801381991 | Niral Patel | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2018-06-29 |
| 1639666001 | Niral B Patel | Student in an Organized Health Care Education/Training Program | 2225 E Evesham Rd, Voorhees, NJ 08043-1557 | 2018-04-20 |
| Street Address |
360 STATION DR |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815770 | Sandra Jaeschke | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2005-07-15 |
| 1801351648 | Jennifer A Garrels | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2019-02-06 |
| 1285099622 | Juliana Gonzales-hannon | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014 | 2015-12-30 |
| 1487025615 | Tonya Renee Fisher | Registered Nurse | 360 Station Dr, Crystal Lake, IL 60014 | 2015-10-14 |
| 1174917595 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 360 Station Dr, Suite 250, Crystal Lake, IL 60014-7978 | 2015-03-24 |
| 1811305329 | Rachel K Ash | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014 | 2014-07-28 |
| 1518383264 | Susan J Bigham | Registered Nurse | 360 Station Dr, Crystal Lake, IL 60014 | 2014-03-05 |
| 1053753582 | Kathleen L Kretchmer | Registered Nurse | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2013-07-25 |
| 1124362306 | Children's Physician Group | Pediatrics | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2012-11-12 |
| 1013261361 | Jenna T Winsko | Nurse Practitioner | 360 Station Dr, Suite 120, Crystal Lake, IL 60014-7978 | 2012-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265917876 | Global Med Pro LLC | Family Medicine | 741 S Mchenry Ave Ste C&d, Crystal Lake, IL 60014-7445 | 2018-09-28 |
| 1588921951 | Khyldoon Selim Bajwa | Family Medicine | 2813 Stonegate Dr, Crystal Lake, IL 60012-1033 | 2012-04-23 |
| 1356653570 | Anthony J Weston | Family Medicine | 525 E Congress Pkwy Ste 350, Crystal Lake, IL 60014-6271 | 2010-07-02 |
| 1700106028 | Sumaira Jabeen | Family Medicine | 741 S Mchenry Ave Ste C, Crystal Lake, IL 60014 | 2010-06-09 |
| 1801856117 | John S Balocki | Family Medicine | 185 Heritage Drive, Suite 3, Crystal Lake, IL 60014 | 2006-03-23 |
| 1174503510 | Family Medicine for Mchenry County | Family Medicine | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1725 | 2006-01-20 |
| 1356905194 | Illinois Primary & Immediate Care Inc | Family Medicine | 741 S Mchenry Ave Ste C, Crystal Lake, IL 60014-7445 | 2019-04-26 |
| 1356883599 | Centegra Primary Care LLC | Family Medicine | 420 N Il Route 31, Crystal Lake, IL 60012-3709 | 2016-11-04 |
| 1972814267 | Krishanthi Dilrukshi Seneviratne | Family Medicine | 415 E Congress Pkwy Ste A, Crystal Lake, IL 60014-6248 | 2010-07-01 |
| 1508035304 | Shruti Bahadur | Family Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2008-02-26 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.