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Individual

DR. SHRUTI BHUPENDRA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.123421
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036.123421
IL
207RP1001X
Pulmonary Disease Physician
Primary
036.123421
IL

Other

Enumeration date
07/21/2008
Last updated
07/18/2013
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