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Individual

HEEREN RAJESH PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
750 E TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014
(815) 455-2752
(815) 455-2789
Mailing address
750 E TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014-3621
(815) 455-2752
(815) 455-2789

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.128526
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036128526
STATE LICENSE
IL
Enumeration date
06/18/2008
Last updated
07/21/2022
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