Patel, Marlynn

Patel, Marlynn is an individual health care provider with primary practice located at Dept Of Internal Medicine 530 Ne Glen Oak, Peoria IL 61637-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Patel, Marlynn can be contacted via phone (309) 655-3292.

Contact Information

Primary practice address
Dept Of Internal Medicine 530 Ne Glen Oak Peoria IL 61637-0001
Phone: (309) 655-3292
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036071867 Illinois

Profile Details

NPI number 1720049786
LBN Legal business name Patel, Marlynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Apr 10th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720049786 NPPES
Illinois Other IL01BL JOHN DEERE
Illinois MEDICAID 036071867 JOHN DEERE
Illinois Other 07215036 JOHN DEERE

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