Individual
DR. HIMADRI MAHESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
16615 S ROUTE 59, PLAINFIELD, IL 60586-2921
(815) 609-6300
Mailing address
16615 S ROUTE 59, PLAINFIELD, IL 60586-2921
(815) 609-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036096440
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399980
GROUP MEDICAL PTAN
—
Enumeration date
10/24/2005
Last updated
03/25/2021
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