Individual
IMTIYAZ D PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 N NEWARK AVE, NILES, IL 60714-4577
(847) 647-8332
Mailing address
7000 N NEWARK AVE, NILES, IL 60714-4577
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006965
IL
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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