Individual
TANMAY P PATWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,MPH
Contact information
Practice address
1051 ESSINGTON RD STE 210, JOLIET, IL 60435-2812
(815) 726-1818
(815) 726-0232
Mailing address
1051 ESSINGTON RD STE 210, JOLIET, IL 60435-2812
(815) 726-1818
(815) 726-0232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R72529
AZ
207RI0200X
Infectious Disease Physician
Primary
036-135068
IL
207RI0200X
Infectious Disease Physician
C1-0024896
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-135068
STATE LICENCE
IL
Enumeration date
06/23/2011
Last updated
11/08/2022
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