Individual
MUKESH V PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 844-5115
(815) 842-2152
Mailing address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
IL
Other
Enumeration date
07/17/2006
Last updated
09/11/2025
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