Individual
DR. MANISH A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY STE 739, CHICAGO, IL 60612-3833
(312) 942-3134
(312) 942-8858
Mailing address
1653 W CONGRESS PKWY STE 739, CHICAGO, IL 60612-3833
(312) 942-3134
(312) 942-8858
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036136821
IL
207L00000X
Anesthesiology Physician
Primary
125061030
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125061030
ILLINOIS DIVISION OF PROFESSIONAL REGULATION, LICENSE NUMBER
IL
Enumeration date
06/29/2011
Last updated
10/09/2024
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