Individual
PRAMOD N PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1850 GATEWAY DR, SYCAMORE, IL 60178-3192
(815) 758-8671
(815) 758-1731
Mailing address
1850 GATEWAY DR, SYCAMORE, IL 60178-3192
(815) 758-8671
(815) 758-1731
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005282
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-005282
STATE LICENSE
IL
Enumeration date
05/10/2007
Last updated
09/17/2010
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