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Organization
RAJ PATEL MD SC
Active
Organization
RAJ PATEL MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ PATEL M.D. (OWNER)
(630) 289-6024
Entity
Organization
Contact information
Practice address
385 BARTLETT PLZ, BARTLETT, IL 60103-4234
(630) 289-6024
(630) 289-8400
Mailing address
385 BARTLETT PLZ, BARTLETT, IL 60103-4234
(630) 289-6024
(630) 289-8400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036057526
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057526
—
IL
01
—
2160975936
BCBS
IL
Enumeration date
11/20/2007
Last updated
03/14/2012
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