Individual
MEETA JAIN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6264 EDGEBROOK LN E, INDIAN HEAD PARK, IL 60525-6994
(708) 246-4627
(708) 246-4627
Mailing address
6264 EDGEBROOK LN E, INDIAN HEAD PARK, IL 60525-6994
(708) 246-4627
(708) 246-4627
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036112281
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112281
—
IL
Enumeration date
12/20/2006
Last updated
05/19/2011
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