Individual
LISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41W400 SILVER GLEN RD, ST CHARLES, IL 60175-8453
(630) 940-1100
Mailing address
900 AUBURN LN, BARTLETT, IL 60103-4570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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