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DIPEEKA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.,

Contact information

Practice address
430 E 162ND ST # 487, SOUTH HOLLAND, IL 60473
(708) 880-0559
(708) 896-6141
Mailing address
430 E 162ND ST # 487, SOUTH HOLLAND, IL 60473-2258
(708) 880-0559
(708) 896-6141

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.016779
IL
363LG0600X
Gerontology Nurse Practitioner
209.016779
IL
363LP2300X
Primary Care Nurse Practitioner
209.016779
IL

Other

Enumeration date
05/03/2017
Last updated
07/24/2019
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