Individual
DR. DEEPAN PRAVIN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
520 N KINGSBURY ST, APT. 4007, CHICAGO, IL 60654-8766
(616) 443-5097
Mailing address
520 N KINGSBURY ST, UNIT 4007, CHICAGO, IL 60654-8766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028510
IL
Other
Enumeration date
10/08/2010
Last updated
11/03/2010
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