Individual
DR. PRATIK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
907 S 6TH ST, SPRINGFIELD, IL 62703-2401
(217) 971-3432
Mailing address
1821 CARDINAL DR, CHATHAM, IL 62629-2059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030202
IL
Other
Enumeration date
06/20/2015
Last updated
12/02/2024
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