Individual
EVITA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 VILLA ST, ELGIN, IL 60120-8001
(630) 978-2532
Mailing address
223 DALLAS DR, BARTLETT, IL 60103-1305
(630) 965-3729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209029561
IL
363LF0000X
Family Nurse Practitioner
Primary
209029561
IL
Other
Enumeration date
08/30/2024
Last updated
11/12/2024
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