Individual
VIVEK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
401 E 162ND ST, SUITE 101, SOUTH HOLLAND, IL 60473-2236
(708) 596-3757
Mailing address
401 E 162ND ST, SUITE 101, SOUTH HOLLAND, IL 60473-2236
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005710
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002506
MI
Other
Enumeration date
07/02/2013
Last updated
12/04/2018
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