Individual
ARCHANA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 W MAIN ST, SUITE M, ST CHARLES, IL 60174-1775
(630) 584-9242
Mailing address
2000 W MAIN ST, SUITE M, ST CHARLES, IL 60174-1775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001314
IL
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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