Individual
GHANSHYAM M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 DIXIE HWY, CHICAGO HTS, IL 60411-1748
(708) 756-0100
(708) 709-6353
Mailing address
333 DIXIE HWY, CHICAGO HTS, IL 60411-1748
(708) 756-0100
(708) 709-6353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036069206
IL
Other
Enumeration date
06/09/2006
Last updated
12/28/2011
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