Individual
CHANDNI K PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4830 N PULASKI RD STE 108, CHICAGO, IL 60630-2847
(661) 364-5050
Mailing address
60 E MONROE ST, UNIT #4802, CHICAGO, IL 60603-2758
(661) 364-5050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030782
IL
Other
Enumeration date
02/12/2016
Last updated
04/24/2017
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