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Josha Patel

NPI Registration Record

Provider / OrganizationNPIDate Certified
JOSHA PATEL15185550282021-01-10
Entity TypeIndividual
Provider Name Josha Patel
Practice Office Address6655 GRAND AVE
GURNEE, IL US
Practice Office Telephone8478568701
Practice Office Fax8478568704
Mailing Address6655 GRAND AVE
GURNEE, IL 600314591 US
HPT Codes
CodeLicense NoState
1835P0018X PRIMARY051303539 IL
OPI Codes

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