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Individual

SHIVANI PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
624 BIRCHWOOD AVE, DES PLAINES, IL 60018-2616
(224) 217-2217
Mailing address
624 BIRCHWOOD AVE, DES PLAINES, IL 60018-2616
(224) 217-2217

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025303
IL

Other

Enumeration date
06/27/2022
Last updated
06/27/2022
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