Pathak, Shraddha

Pathak, Shraddha is an individual health care provider with primary practice located at 420 N Il Route 31 , Crystal Lake IL 60012-3709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pathak, Shraddha can be contacted via phone (815) 356-5200.

Contact Information

Primary practice address
420 N Il Route 31 Crystal Lake IL 60012-3709
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.008482 Illinois

Profile Details

NPI number 1275296972
LBN Legal business name Pathak, Shraddha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2021
Last updated Apr 26th, 2022 - about 2 years ago

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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