Individual provider Active NPI

Vijay Patel, D.C.

  • Chiropractor
  • Mount Prospect, IL
National Provider Identifier
1174595235
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008725 Issued in IL
Practice address
55 E Euclid Ave Ste 460
Mt Prospect, IL 60056-1287
Phone
(847) 222-9060
Fax
(847) 222-9130
NPI assigned
Feb 3, 2006
Last updated
Jul 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008725 IL Primary

Addresses

Primary practice location

55 E Euclid Ave Ste 460
Mt Prospect, IL 60056-1287

Mailing address

55 E Euclid Ave Ste 460
Mt Prospect, IL 60056-1287
Phone (847) 222-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041007000457 IL Practitioner - Chiropractic 9032011523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Medicine and Therapy, LTD.Group PAC ID 4284692294, 4 clinicians

Practice addresses (Care Compare)

350 W Kensington Rd
Suite 102
Mt Prospect, IL 60056-1141
Phone (847) 222-9060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038008725ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Medicine & Therapy, LTD. Chiropractor CurrentSince Feb 1, 2005 Accepting new patients
Advanced Physical Medicine & Therapy, LTD. CurrentSince Feb 14, 2021 Accepting new patients
West Dundee Physical Medicine, S.C. Chiropractor PastSince Sep 1, 2004 Accepting new patients

Locations

350 W Kensington Rd
Ste 10
Mt Prospect, IL 60056
Phone (847) 222-9060

350 W Kensington Rd
Ste 102
Mt Prospect, IL 60056
Phone (847) 222-9060

55 E Euclid Ave
Ste 460
Mt Prospect, IL 60056
Phone (847) 222-9060

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1174595235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E EUCLID AVE STE 460",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600561287",
            "telephone_number": "847-222-9060",
            "fax_number": "847-222-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E EUCLID AVE STE 460",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600561287",
            "telephone_number": "847-222-9060",
            "fax_number": "847-222-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.