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Provider Information for 1033283148



DR. MAHESH M PATEL DDS

Gender: MALE

Individual NPI: 1033283148

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1033283148
Enumeration Date 2006-11-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3105 ROSEWOOD PL
DOWNERS GROVE, IL 60515-1286
United States

Phone: 630-964-4947 | Fax: 630-964-5069
View Map External Link
Primary Practice Address 4355 W FULLERTON AVE
CHICAGO, IL 60639-2057
United States

Phone: 773-489-2626 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice IL