Individual
KSHITI S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2991
(815) 935-7500
Mailing address
400 RIVERSIDE DR STE 1600, BOURBONNAIS, IL 60914-5406
(844) 404-4787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041428713
IL
Other
Enumeration date
06/25/2019
Last updated
11/08/2023
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