Individual
PRIYANKA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3880 SALEM LAKE DR # F, LONG GROVE, IL 60047-5292
(847) 719-2200
Mailing address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0411426907
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209021765
IL
363LF0000X
Family Nurse Practitioner
209021765
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209021765
—
IL
Enumeration date
05/25/2021
Last updated
03/07/2023
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