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NPI Code Detail

MEDICARE: PAYAL HETAL PATEL

MEDICARE: PAYAL HETAL PATEL
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
1390200000XStudent in an Organized Health Care Education/Training ProgramIL

General Provider Information

NPI Number : 1821945072
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAYAL HETAL PATEL
Provider Business Mailing Address
First Line : 820 S WOOD ST STE 100
Second Line :
City : CHICAGO
State : IL
Zip : 60612-4325
Country : US
Telephone Number : 312-996-2933
Fax Number :
Provider Business Practice Location Address
First Line : 820 S WOOD ST STE 100
Second Line :
City : CHICAGO
State : IL
Zip : 60612-4325
Country : US
Telephone Number : 312-996-2933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ PAYAL HETAL PATEL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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