Individual
DR. MANOJ RATILAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2507 N RICHMOND RD, MCHENRY, IL 60051-5407
(847) 802-7300
(815) 385-3374
Mailing address
2507 N RICHMOND RD, MCHENRY, IL 60051-5407
(847) 802-7300
(815) 385-3374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36113229
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036113229
STATE LICENSE
IL
05
—
036113229
—
IL
01
—
1306846670
NPI
IL
Enumeration date
07/28/2005
Last updated
07/31/2024
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