Individual
MRS. MALLIKA H PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, AGACNP-BC
Contact information
Practice address
1875 DEMPSTER ST STE 465, PARK RIDGE, IL 60068-1129
(847) 318-9071
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-013748
IL
363LA2100X
Acute Care Nurse Practitioner
209013748
IL
Other
Enumeration date
02/01/2016
Last updated
02/26/2026
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