Individual
KRISHNA VIVAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13028 CATHY LN, PLAINFIELD, IL 60585-6944
(630) 597-5709
Mailing address
13028 CATHY LN, PLAINFIELD, IL 60585-6944
(630) 597-5709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.452413
IL
363LF0000X
Family Nurse Practitioner
Primary
209.027437
IL
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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