Individual
NILAM M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050
(815) 344-5000
Mailing address
10350 HALIGUS RD, HUNTLEY, IL 60142-9545
(815) 338-6600
(847) 802-7112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005768
IL
363A00000X
Physician Assistant
PA1716
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085005768
STATE LICENSE
IL
05
—
7100224850
—
KY
Enumeration date
04/20/2012
Last updated
07/21/2022
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