Individual
SHRUTI P PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525-2659
(708) 245-8900
(708) 245-5721
Mailing address
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525-2659
(708) 245-8900
(708) 245-5721
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036.158009
IL
Other
Enumeration date
05/29/2019
Last updated
11/12/2024
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