Individual
MRS. TEJAL NANUBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16221 W 159TH ST, LOCKPORT, IL 60441-7959
(815) 588-1111
Mailing address
16221 W 159TH ST, LOCKPORT, IL 60441-7959
(815) 588-1111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
005871
GA
363AM0700X
Medical Physician Assistant
Primary
085.004464
IL
Other
Enumeration date
07/06/2010
Last updated
10/08/2014
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