| Rajul Patel West Loop Pc | |
|
1755 W North Ave Ste C-101 Chicago IL 60622-5450 | |
| (773) 527-2790 | |
| (630) 307-3134 |
| Full Name | Rajul Patel West Loop Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1755 W North Ave Ste C-101, Chicago, Illinois |
| Authorized Official Name and Position | Crystal Bledsoe Barron (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 8135800028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajul Patel West Loop Pc 107 W Lake St Ste 101 Bloomingdale IL 60108-1027 Ph: (630) 307-3133 | Rajul Patel West Loop Pc 1755 W North Ave Ste C-101 Chicago IL 60622-5450 Ph: (773) 527-2790 |
| NPI Number | 1679455505 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679455505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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