Individual
DR. JAYSHREE PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3625 W CHICAGO AVE, CHICAGO, IL 60651-3934
(773) 638-0069
Mailing address
3623 W CHICAGO AVE, CHICAGO, IL 60651-3934
(773) 638-0069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020483
IL
Other
Enumeration date
01/18/2006
Last updated
12/09/2016
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