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Individual

ANISHA M. PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN-CNS

Contact information

Practice address
2650 RIDGE AVE., KELLOGG CANCER CENTER, EVANSTON, IL 60201
(847) 570-2112
(847) 570-1041
Mailing address
2650 RIDGE AVE., KELLOGG CANCER CENTER, EVANSTON, IL 60201-1718
(847) 570-2112
(847) 570-1041

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041412754
IL
364S00000X
Clinical Nurse Specialist
Primary
209015380
IL

Other

Enumeration date
12/16/2016
Last updated
10/17/2019
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