Individual
DR. SANJAY MAGAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 463-1838
Mailing address
7N405 SYCAMORE AVE, MEDINAH, IL 60157-9408
(773) 463-1838
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.118407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.118407
—
IL
Enumeration date
05/31/2007
Last updated
05/19/2025
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