Provider Demographics
NPI:1740430008
Name:PATEL, VARSHA (MSCCC-SLP)
Entity Type:Individual
Prefix:
First Name:VARSHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 N OAKLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1827
Mailing Address - Country:US
Mailing Address - Phone:630-803-4838
Mailing Address - Fax:630-501-1672
Practice Address - Street 1:532 N OAKLAWN AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-1827
Practice Address - Country:US
Practice Address - Phone:630-803-4838
Practice Address - Fax:630-501-1672
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146005216235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist