Individual provider · NPI-1

Hetal Patel, M.D.

Otolaryngology · Peoria, IL

NPI number1851684617
StatusActive
Last updated in NPPESSep 17, 2026

Details

NPI
1851684617
Entity type
Individual (NPI-1)
Name
Hetal Patel
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2011
Certification date
Sep 17, 2026
Last updated
Sep 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology036.144011ILYes

Practice location

7301 Knoxville Ave
Peoria, IL 61614

Phone 309-589-5900

Mailing address

7301 N Knoxville Ave
Peoria, IL 61614-2017

Phone 309-589-5900 · Fax 309-689-0312

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