Individual
AMIT ISHWARLAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-4783
Mailing address
18124 CRAWLEY RD, ODESSA, FL 33556-4828
(813) 494-2049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-135086
IL
207RG0100X
Gastroenterology Physician
Primary
036.135086
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2011
Last updated
04/28/2021
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