Individual
DR. SHAWN A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1206 E 9TH ST, LOCKPORT, IL 60441
(630) 790-1872
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036150435
IL
208100000X
Physical Medicine & Rehabilitation Physician
2018014427
MO
Other
Enumeration date
06/13/2013
Last updated
08/17/2023
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