Individual
LISA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 N WALL ST STE 102, KANKAKEE, IL 60901-2934
(815) 928-5090
(815) 928-5079
Mailing address
401 N WALL ST STE 102, KANKAKEE, IL 60901-2934
(815) 928-5090
(815) 928-5079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.155634
IL
Other
Enumeration date
05/09/2018
Last updated
06/22/2021
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