Provider Demographics
NPI:1700217528
Name:PATEL, PRITI ASHVIN (RRT, RPSGT)
Entity Type:Individual
Prefix:
First Name:PRITI
Middle Name:ASHVIN
Last Name:PATEL
Suffix:
Gender:F
Credentials:RRT, RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1468 SANDBURG DR STE 4
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-2182
Mailing Address - Country:US
Mailing Address - Phone:630-254-2910
Mailing Address - Fax:847-995-0488
Practice Address - Street 1:1468 SANDBURG DR STE 4
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-2182
Practice Address - Country:US
Practice Address - Phone:630-254-2910
Practice Address - Fax:847-995-0488
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL194.002725227900000X
IL6905246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other