Search › Illinois › 152W00000X
Puja Patel
NPI 1568041978 · on the registry since 2021
Practice
- Address
- 4663 W 95th St
Oak Lawn, IL 60453 - Phone
- (708) 636-0600
- Fax
- (708) 636-0606
- Organisation at this address
- Harold E Davis & Terry Alan Trust Etal
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 10701 East Blvd, Cleveland, OH
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois