Individual
DR. SAMIR MAHENDRA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
939 W MADISON ST, #201, CHICAGO, IL 60607-2638
(217) 390-8219
Mailing address
939 W MADISON ST, #201, CHICAGO, IL 60607-2638
(217) 390-8219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
018001772
IL
122300000X
Dentist
Primary
019028698
IL
Other
Enumeration date
07/02/2010
Last updated
07/13/2015
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