Individual
PURVI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036143597
IL
208600000X
Surgery Physician
125-058073
IL
2086S0102X
Surgical Critical Care Physician
15961
NV
Other
Enumeration date
06/17/2010
Last updated
05/03/2021
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