Individual
ANJU PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 WEST ST STE 311, PERU, IL 61354-2770
(815) 223-9214
(815) 223-0927
Mailing address
920 WEST ST STE 311, PERU, IL 61354-2770
(815) 223-9214
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036143853
IL
208000000X
Pediatrics Physician
4301106121
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301106121
MI
Other
Enumeration date
06/20/2014
Last updated
07/21/2022
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