Individual
TANVI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10350 HALIGUS RD STE C, HUNTLEY, IL 60142-9545
(312) 695-3800
(815) 455-2789
Mailing address
10350 HALIGUS RD STE C, HUNTLEY, IL 60142-9545
(312) 695-3800
(815) 455-2789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010100
IL
Other
Enumeration date
09/09/2022
Last updated
06/03/2024
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