Individual
JASMIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16246 PRINCE DR, SOUTH HOLLAND, IL 60473-3233
(708) 915-4965
Mailing address
222 N COLUMBUS DR, UNIT #2504, CHICAGO, IL 60601-7810
(917) 602-4841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005329
IL
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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