Individual
AMITKUMAR PRAVINKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2 OAKBROOK CENTER MALL, OAK BROOK, IL 60523-1810
(201) 920-6233
Mailing address
372 WINDSONG CIR, GLENDALE HEIGHTS, IL 60139-4500
(201) 920-6233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029128
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2012
Last updated
03/28/2018
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