Individual
PAYAL SHAH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
15884 W 127TH ST STE H, LEMONT, IL 60439-7425
(630) 243-7683
(630) 243-8184
Mailing address
15884 W 127TH ST STE H, LEMONT, IL 60439-7425
(630) 243-7683
(630) 243-8184
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.120449
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120449 1
—
IL
01
—
2220936
BCBS
IL
Enumeration date
07/09/2008
Last updated
04/27/2024
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