Individual
KRUPA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 W HARRISON ST STE 550, CHICAGO, IL 60612-4861
(312) 942-6100
Mailing address
1611 W HARRISON ST STE 550, CHICAGO, IL 60612-4861
(312) 942-6100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036165440
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2017
Last updated
08/25/2023
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