Individual
RADHIKA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
51299 PLYMOUTH RIDGE DR, PLYMOUTH, MI 48170-6392
(313) 516-9887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041453108
IL
163WE0003X
Emergency Registered Nurse
4704300441
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
209016254
IL
Other
Enumeration date
01/30/2017
Last updated
07/21/2022
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