Individual
ISHANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
17495 LA GRANGE RD, TINLEY PARK, IL 60487-7581
(708) 226-7000
(708) 226-7174
Mailing address
820 SPRINGER DR, LOMBARD, IL 60148-6413
(708) 634-4602
(630) 495-1770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
10/02/2018
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