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Individual

AESHA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-9297
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
1205076020
IL
208600000X
Surgery Physician
125076020
IL

Other

Enumeration date
03/29/2020
Last updated
05/02/2022
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