Individual
MISS SHANA S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1542 W DEVON AVE, CHICAGO, IL 60660-1344
(773) 465-4300
Mailing address
5253 N KIMBALL AVE, CHICAGO, IL 60625-4728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041492492
IL
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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