Individual
DR. PRATIK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9104 COLUMBIA AVE, MUNSTER, IN 46321-2907
(219) 836-4473
Mailing address
1717 W CONGRESS PKWY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.054071
IL
207RC0000X
Cardiovascular Disease Physician
336088928
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01080849A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
336088928
IL
Other
Enumeration date
08/06/2008
Last updated
10/22/2018
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