Avani Patel, NP | |
8800 Active Ln, Hickory Hills, IL 60457-1253 | |
(708) 296-6655 | |
Not Available |
Full Name | Avani Patel |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 8800 Active Ln, Hickory Hills, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1962160572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.024411 (Illinois) | Primary |
Entity Name | Benchmark Psychiatric Services, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013118413 PECOS PAC ID: 0648379941 Enrollment ID: O20070627000644 |
Entity Name | Brightside Medical Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230331000963 |
Mailing Address | Practice Location Address |
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Avani Patel, NP 8800 Active Ln, Hickory Hills, IL 60457-1253 Ph: (708) 296-6655 | Avani Patel, NP 8800 Active Ln, Hickory Hills, IL 60457-1253 Ph: (708) 296-6655 |
Paulina Anna Sarat, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9109 Kopping Ln, Hickory Hills, IL 60457 Phone: 708-351-4304 | |
Revi Chari Manipol Brinkman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9437 S 84th Ave, Hickory Hills, IL 60457 Phone: 714-343-7712 |