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Avni Patel
NPI 1942909114 · on the registry since 2023 · sole proprietor
Practice
- Address
- 379 W Pontoon Rd
Granite City, IL 62040 - Phone
- (618) 451-6002
- Organisation at this address
- Walmart Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 3336C0003X
3336C0003X
- Also registered as
- 183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-18
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