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Individual

CHIRAG PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
180 N ADA ST APT 1407, CHICAGO, IL 60607-1546

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036151212
IL
207L00000X
Anesthesiology Physician
Primary
125.070524
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036151212
MEDICAL LICENSE
IL
01
336115942
CONTROLLED SUBSTANCE LICENSE
IL
Enumeration date
03/28/2017
Last updated
01/28/2025
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