Individual
VELISA J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3535 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-9400
Mailing address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-4066
(815) 971-9299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209013285
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366810632
—
WI
Enumeration date
09/03/2015
Last updated
02/06/2024
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