Individual
ASHRUTA J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
430 PENNSYLVANIA AVE STE 310, GLEN ELLYN, IL 60137-4464
(630) 790-1792
(630) 545-7568
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036108696
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108696
—
IL
01
—
1164451696
NPI
IL
Enumeration date
06/30/2006
Last updated
02/09/2024
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