Individual
KAVITA PRAVIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9550 W 167TH ST STE 100, ORLAND PARK, IL 60467-5561
(708) 873-4500
(708) 873-4504
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036165773
IL
Other
Enumeration date
03/31/2020
Last updated
09/20/2023
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