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Individual

SHACHI PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6447 CERMAK RD, BERWYN, IL 60402-2311
(773) 254-1400
Mailing address
6447 CERMAK RD, BERWYN, IL 60402-2311

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007392
IL

Other

Enumeration date
11/23/2020
Last updated
08/10/2021
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