Individual
SHILPA MAJMUDAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1645 COTTAGE GROVE AVE, FORD HEIGHTS, IL 60411-3818
(708) 753-5835
(708) 753-5042
Mailing address
1645 COTTAGE GROVE AVE, FORD HEIGHTS, IL 60411-3818
(708) 753-5835
(708) 753-5042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-107476
IL
207RI0200X
Infectious Disease Physician
Primary
036107476
IL
207RI0200X
Infectious Disease Physician
4301085096
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4755506
—
MI
01
—
5315020926
CONTROLLED SUBSTANCE
MI
Enumeration date
08/16/2005
Last updated
03/07/2023
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