Individual
CHANDULAL M PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4074 S ARCHER AVE, CHICAGO, IL 60632
(773) 847-1013
(773) 847-0265
Mailing address
4074 S ARCHER AVENUE, CHICAGO, IL 60632
(773) 847-1013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03648335
IL
208000000X
Pediatrics Physician
03648335
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048335
—
IL
Enumeration date
01/23/2007
Last updated
09/23/2010
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