Individual
KEYA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1750 W HARRISON ST STE 108, CHICAGO, IL 60612-3825
(312) 942-7802
(312) 942-4201
Mailing address
1513 W OHIO ST APT 2E, CHICAGO, IL 60642-6210
(847) 772-8779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036155351
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2018
Last updated
05/28/2021
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