PRITI M. PATEL


Address: 530 Ne Glenoak Ave, Peoria, IL 61603-3133
Phone: 3193541625

PRITI M. PATEL (NPI# 1740483627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740483627
Entity Type Individual
Full Name PRITI M. PATEL
Credential MD
Practice Address 530 Ne Glenoak Ave
Peoria
IL 61603-3133
Practice Telephone 3193541625
Mailing Telephone 3193541625
Enumeration Date 2007-06-07
Last Update Date 2010-12-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
36156 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL MEDICARE GROUP PTAN 216946 01

Other Providers PRITI PATEL

NPI Name Taxonomy Address Enumeration
1033600937 Priti Patel Physical Therapist 75 Liberty Ave Unit C12, Jersey City, NJ 07306-5030 2018-05-25
1700217528 Priti Ashvin Patel Respiratory Therapist, Registered 1468 Sandburg Dr Ste 4, Schaumburg, IL 60173-2182 2013-12-04
1871890830 Priti Patel Pharmacist 245 N Dupont Hwy, Dover, DE 19901-7509 2011-02-27
1760629273 Priti P Patel Plastic Surgery 2345 Lamington Rd Ste 107, Bedminster, NJ 07921-2612 2009-01-21
1942426499 Priti Patel Physical Therapist 7811 Maple Ave, Pennsauken, NJ 08109-3395 2007-04-17
1770654857 Priti Patel Occupational Therapist 7812 Creekbottom Rd, Louisville, KY 40241-5507 2006-11-13
1760430391 Priti G Patel Pediatrics 2380 N Ferguson Ave, Suite 104, Tucson, AZ 85712-2837 2006-05-05
1013986884 Priti A Patel Internal Medicine 233 Winthrop Street, Taunton, MA 02780-3960 2006-03-15
1730179748 Priti P Patel Internal Medicine 791 N Wellwood Ave, Suite 4, Lindenhurst, NY 11757-1210 2005-10-21
1891255352 Priti Patel Pharmacist 2900 Weslayan St Ste B, Houston, TX 77027-5150 2019-03-21

Office Location

Street Address 530 NE GLENOAK AVE
City PEORIA
State IL
Zip Code 61603-3133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568791234 Kelli Dohman Nurse Practitioner 530 Ne Glenoak Ave, Peoria, IL 61603-3117 2009-12-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598362980 Courtney Klein Nurse Practitioner 1306 N. Berkley Ave, Peoria, IL 61603 2020-10-08
1114588217 Kong Xing Wang Dentist 320 East Armstrong Ave, Peoria, IL 61603 2019-06-28
1073015319 Sara Kristine Rosenbery Nurse Practitioner 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 2018-03-02
1861860058 Jennifer Michelle Kelsey Clinical Nurse Specialist 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 2015-09-04
1467859793 Bonnie Lansing Counselor 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 2014-12-02
1639597172 Jael K. Mahasi Counselor 1800 Ne Perry Avenue, Peoria, IL 61603 2014-04-02
1992054829 Justin S Ferragut Radiology 530 Northeast Glen Oak Avenue, Peoria, IL 61603 2012-09-06
1780952994 Syed Muhammad Tayyab Internal Medicine 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 2011-12-02
1528389079 St. Francis Medical Center General Acute Care Hospital 530 N E Glen Oak Ave, Peoria, IL 61603 2010-06-18
1780810648 Children's Home Association of Illinois Voluntary or Charitable 400 E. Frye, Peoria, IL 61603 2009-06-05
Find all providers in zip 61603

Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427057595 David P Chan Pediatrics 420 Ne Glen Oak Ave, Peoria, IL 61637-0001 2005-07-20
1386081792 Children's Hospital of Illinois Medical Group Pediatrics 420 Ne Glen Oak Ave, Ste 301, Peoria, IL 61603-3105 2013-05-24
1851644256 Jeffrey William Orcutt Jr. Pediatrics 420 Ne Glen Oak Ave, Ste 301, Peoria, IL 61603-3105 2012-10-23
1013146067 Saint Francis Medical Center Pediatrics 420 Ne Glen Oak Ave, Suite 304, Peoria, IL 61603-3105 2009-07-13
1770744799 Osf Multispecialty Group Peoria LLC Pediatrics 420 Ne Glen Oak Ave, Ste 304, Peoria, IL 61603-3105 2008-06-23
1164689428 Matthew T Bramlet Pediatrics 420 Ne Glen Oak Ave, Suite 301, Peoria, IL 61603-3105 2008-05-22
1497879290 Cecilia Anne Albaro Pediatrics 420 Ne Glen Oak Ave, Suite 301, Peoria, IL 61603-3105 2007-03-19
1982798146 William H Albers Pediatrics 420 Ne Glen Oak Ave, Suite 304, Peoria, IL 61603-3105 2006-10-03
1619061827 Jitendra J Shah Pediatrics 420 Ne Glen Oak Ave, Suite 304, Peoria, IL 61603-3105 2006-10-03
1417041666 Stephen E Bash Pediatrics 420 Ne Glen Oak Ave, Suite 304, Peoria, IL 61603-3105 2006-10-03
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61603

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Dataset Information

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.

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