Individual
PRERANA PANCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 BIESTERFIELD RD, #207, ELK GROVE VILLAGE, IL 60007-3392
(847) 545-9028
Mailing address
901 BIESTERFIELD RD, #207, ELK GROVE VILLAGE, IL 60007-3392
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036079396
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079396
—
IL
Enumeration date
05/24/2006
Last updated
11/21/2014
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