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Individual

MRS. ANITA KANTILAL-PATEL OPDYCKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
633 EMERSON ST, EVANSTON, IL 60208-0844
(847) 491-5470
(847) 491-5919
Mailing address
633 EMERSON ST, EVANSTON, IL 60208-0844
(847) 491-5470
(847) 491-5919

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009670
IL
363LA2200X
Adult Health Nurse Practitioner
209009670
IL

Other

Enumeration date
09/07/2012
Last updated
09/22/2021
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