Birju Patel, MD
Psychiatry & Neurology, Child & Adolescent Psychiatry in Kenilworth, IL. Individual provider (NPI-1).
NPI number1699018317
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1699018317
- Entity type
- Individual (NPI-1)
- Name
- Birju Patel
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2013
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 036.141220 | IL | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 036141220 | IL |
Practice location
444 Green Bay RdKenilworth, IL 60043-1001
Phone 847-853-0234 · Fax 847-853-0230
Mailing address
444 Green Bay RdKenilworth, IL 60043-1001
Phone 847-853-0234 · Fax 847-853-0230
Other practice locations
444 N Pleasant Ave
Centralia, IL 62801-3006
Centralia, IL 62801-3006
Phone 618-436-5665
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.