Individual
ANISHI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
712 E 87TH ST, CHICAGO, IL 60619-6246
(773) 683-9000
Mailing address
46884 WAREHAM, CANTON, MI 48187-4673
(734) 981-8681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033752
IL
Other
Enumeration date
06/13/2022
Last updated
06/21/2022
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