Individual
MAUSAM PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
259 E ERIE ST STE 2060, CHICAGO, IL 60611-2994
(312) 695-6022
(312) 695-5672
Mailing address
259 E ERIE ST STE 2060, CHICAGO, IL 60611-2994
(312) 695-6022
(312) 695-5672
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209031726
IL
363L00000X
Nurse Practitioner
APRN.CNP.0034821
OH
Other
Enumeration date
10/13/2023
Last updated
07/31/2025
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