Organization
RAJUL PATEL WESTLOOP PC
Active
Other names
Pure Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
RAJUL K PATEL DDS (PRESIDENT/DENTIST)
(312) 988-0025
Entity
Organization
Contact information
Practice address
1222 W MADISON ST, SUITE 300, CHICAGO, IL 60607-2044
(312) 988-0025
(312) 757-1898
Mailing address
1222 W MADISON ST, SUITE 300, CHICAGO, IL 60607-2044
(312) 988-0025
(312) 757-1898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027791
IL
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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