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Individual

BHAVESH K PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4211 N CICERO AVE STE 100, CHICAGO, IL 60641-1652
(815) 713-2742
(815) 282-8597
Mailing address
10100 FOREST HILLS RD, MACHESNEY PARK, IL 61115-8234
(815) 713-2742

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-107252
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036107252
IL
Enumeration date
08/15/2006
Last updated
07/01/2008
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