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Organization
WEST DUNDEE PHYSICAL MEDICINE, S.C.
Active
Organization
WEST DUNDEE PHYSICAL MEDICINE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY PATEL DC (PRESIDENT)
(847) 222-9060
Entity
Organization
Contact information
Practice address
650 SPRINGHILL RING RD, #2005, WEST DUNDEE, IL 60118
(847) 844-7900
(847) 844-7941
Mailing address
55 E EUCLID AVE STE 460, MT PROSPECT, IL 60056-1287
(847) 222-9060
(847) 222-9130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4532199
BLUE CROSS
IL
Enumeration date
02/03/2006
Last updated
09/06/2011
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