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Individual
AMIT D PATEL
Active
Individual
AMIT D PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036133822
IL
390200000X
Student in an Organized Health Care Education/Training Program
125060430
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036133822
—
IL
01
—
F400436605
MEDICARE
IL
01
—
P01953160
RRM
IL
Enumeration date
06/23/2011
Last updated
12/19/2018
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