Individual
NISHA D PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 TECHNOLOGY WAY STE 120, LIBERTYVILLE, IL 60048-5364
(847) 231-4721
Mailing address
10640 165TH ST, ORLAND PARK, IL 60467-8734
(708) 364-0261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.149939
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036.149939
IL
Other
Enumeration date
07/06/2015
Last updated
11/09/2022
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