Provider Demographics
NPI:1801401088
Name:PATEL, SARANGI R (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SARANGI
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 FLAMINGO DR
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-4060
Mailing Address - Country:US
Mailing Address - Phone:847-630-7626
Mailing Address - Fax:
Practice Address - Street 1:2500 S HIGHLAND AVE STE 230
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-7103
Practice Address - Country:US
Practice Address - Phone:630-429-9000
Practice Address - Fax:630-429-9060
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209021126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily