Individual
REEMA GHANSHYAM PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
12328 HIGH STAKES DR, REISTERSTOWN, MD 21136-5772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029459
IL
Other
Enumeration date
05/02/2013
Last updated
01/13/2015
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