Individual
MR. CHIMANBHAI KALIDAS PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6555 WILLOW SPRINGS RD, STE 6, LA GRANGE HIGHLANDS, IL 60525-4591
(708) 579-4900
Mailing address
6611 WEDGEWOOD LN, WILLOWBROOK, IL 60527-5440
(630) 850-9505
(773) 292-9661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036052687
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052687
—
IL
Enumeration date
07/06/2006
Last updated
03/07/2023
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