Individual
SAMIPKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10350 HALIGUS RD STE A, HUNTLEY, IL 60142-9545
(815) 455-6100
(847) 802-7162
Mailing address
10350 HALIGUS RD STE A, HUNTLEY, IL 60142-9545
(815) 455-6100
(847) 802-7162
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007677
IL
363A00000X
Physician Assistant
5079-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100909
—
WI
Enumeration date
09/06/2016
Last updated
02/28/2025
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