Individual
MR. TRUSHAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Mailing address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209025029
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209025029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209025029
—
IL
Enumeration date
04/07/2022
Last updated
03/07/2023
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