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NPI Code Detail

MEDICARE: AVANI PATEL DMD

MEDICARE:   AVANI  PATEL  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist019.030472IL

General Provider Information

NPI Number : 1295143915
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVANI PATEL DMD
Provider Business Mailing Address
First Line : 1350 E CHICAGO ST
Second Line :
City : ELGIN
State : IL
Zip : 60120-4725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1350 E CHICAGO ST UNIT 4
Second Line :
City : ELGIN
State : IL
Zip : 60120-4724
Country : US
Telephone Number : 847-760-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2014
Last Update Date : 03/24/2025

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Directions to “ AVANI PATEL DMD” Practice Location

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