Organization
WISE HEALTH PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEPHALI A PATEL M.D. (PRESIDENT)
(847) 322-9602
Entity
Organization
Contact information
Practice address
1127 N. OAKLEY AVE, 5TH FLOOR, CHICAGO, IL 60622-3507
(773) 989-9868
(773) 989-9824
Mailing address
1127 N. OAKLEY AVE, 5TH FLOOR, CHICAGO, IL 60622-3507
(773) 989-9868
(773) 989-9824
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036091776
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091776
—
IL
Enumeration date
04/18/2008
Last updated
02/22/2024
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