Individual
HETAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7301 KNOXVILLE AVE, PEORIA, IL 61614
(309) 589-5900
Mailing address
7301 KNOXVILLE AVE, PEORIA, IL 61614
(309) 589-5900
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME128163
FL
Other
Enumeration date
05/25/2011
Last updated
10/02/2017
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