Individual
CHAITALI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
904 ROOSEVELT RD, GLEN ELLYN, IL 60137-7829
(630) 469-4500
Mailing address
3871 LEEWARD LN, HANOVER PARK, IL 60133-6172
(630) 373-4467
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031270
IL
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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