Patel, Priyanka

Patel, Priyanka is an individual health care provider with primary practice located at 3880 Salem Lake Dr # F , Long Grove IL 60047-5292. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Patel, Priyanka can be contacted via phone (847) 719-2200.

Contact Information

Primary practice address
3880 Salem Lake Dr # F Long Grove IL 60047-5292
Phone: (847) 719-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0411426907 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209021765 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209021765 Illinois

Profile Details

NPI number 1073188694
LBN Legal business name Patel, Priyanka
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2021
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073188694 NPPES
Illinois MEDICAID 209021765

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