Organization
SHOBHANA PATODIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOBHANA PATODIA (MD)
(708) 338-9387
Entity
Organization
Contact information
Practice address
1111 SUPERIOR ST STE 206, MELROSE PARK, IL 60160-4156
(708) 338-9387
Mailing address
1111 SUPERIOR ST STE 206, MELROSE PARK, IL 60160-4156
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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