Individual
JIMMISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7345 W 25TH ST, NORTH RIVERSIDE, IL 60546-1409
(708) 447-0900
Mailing address
1770 ROBIN WALK APT D, HOFFMAN ESTATES, IL 60169-1130
(614) 623-1158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.036602
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2025
Last updated
11/03/2025
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