Individual
DR. PRATIBHA B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000
Mailing address
3333 GREEN BAY RD, HSB L.648, NORTH CHICAGO, IL 60064-3037
(224) 570-7219
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005386
IL
Other
Enumeration date
06/18/2008
Last updated
08/28/2023
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