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Organization

BUBBLES PEDIATRICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. UTSAHI R. PATEL MD (PEDIATRICIAN)
(847) 882-4300
Entity
Organization

Contact information

Practice address
1786 MOON LAKE BLVD, SUITE 206, HOFFMAN ESTATES, IL 60169-5029
(847) 882-4300
Mailing address
1786 MOON LAKE BLVD, SUITE 206, HOFFMAN ESTATES, IL 60169-5029
(847) 882-4300

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.138022
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036138022
IL
01
1770845596
INDIVIDUAL NPI
IL
Enumeration date
08/23/2016
Last updated
08/23/2016
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