Individual
DR. MITA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1775 DEMPSTER ST, EAST PAVILION SUITE 113, PARK RIDGE, IL 60068-1143
(847) 723-5900
(847) 723-2178
Mailing address
1711 DEWES ST, GLENVIEW, IL 60025-4301
(847) 729-6303
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
36114188
IL
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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