D&a Medical LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036-109927 Issued in IL

Legal business name

D&A MEDICAL LTD

Practice address

680 N Lake Shore Dr Ste 930
Chicago, IL 60611-8700

Phone

(312) 861-3911

Fax

(312) 861-3912

NPI assigned

Oct 29, 2011

Organization subpart

No

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

Authorized official

Name

Toral D Patel, MD

Title

Owner

Phone

(312) 861-3911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1730465139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 930",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606118700",
            "telephone_number": "312-861-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 930",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606118700",
            "telephone_number": "312-861-3911",
            "fax_number": "312-861-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&A MEDICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-29",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TORAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-861-3911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036-109927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.