Individual
HINABEN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 422-6200
Mailing address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 422-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007805
IL
Other
Enumeration date
03/20/2020
Last updated
02/26/2024
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