Individual
RICKY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 W HARRISON ST STE 450, CHICAGO, IL 60612-4828
(312) 947-0422
Mailing address
1725 W HARRISON ST STE 450, CHICAGO, IL 60612-4828
(312) 947-0422
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
125075967
IL
208600000X
Surgery Physician
125075967
IL
Other
Enumeration date
03/26/2020
Last updated
05/02/2022
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