Individual
PRIYANKA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2400 BIG TIMBER RD, ELGIN, IL 60124-7835
(847) 697-0770
Mailing address
680 LANCASTER DR, PINGREE GROVE, IL 60140-9157
(516) 978-9004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014845
IL
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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