Individual
PAYAL ATUL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-0229
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-0229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008483
IL
363A00000X
Physician Assistant
PA200001300
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPTIONAL
OPTIONAL
—
Enumeration date
10/01/2021
Last updated
02/08/2024
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