Provider Demographics
NPI:1962852897
Name:PATEL, SNEHAL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SNEHAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S RAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-2960
Mailing Address - Country:US
Mailing Address - Phone:847-540-8088
Mailing Address - Fax:847-540-0371
Practice Address - Street 1:1098 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334-9645
Practice Address - Country:US
Practice Address - Phone:864-249-0371
Practice Address - Fax:847-618-3489
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.014368363LF0000X
SC24039363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily