Individual
JAIMINI MAYANK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 SUNSET RIDGE RD, NORTHBROOK, IL 60062-4008
(224) 235-4639
Mailing address
7937 LYONS ST, MORTON GROVE, IL 60053-1636
(847) 858-6186
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005052
IL
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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