Organization
INNOVATIVE GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAQUTA PATNI MD (CEO)
(206) 437-2948
Entity
Organization
Contact information
Practice address
301 MADISON ST STE 310, JOLIET, IL 60435-6686
(815) 773-7737
Mailing address
3040 BELLA CT, LISLE, IL 60532-1696
(206) 437-2948
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036106333
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106333
—
IL
Enumeration date
12/09/2017
Last updated
01/03/2026
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