MEDICARE: DR. NISHA V PATEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	36.124169	IL

General Provider Information

NPI Number	:	1710112263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NISHA V PATEL MD

Provider Business Mailing Address
First Line	:	1640 N ARLINGTON HEIGHTS RD STE 101
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3985
Country	:	US
Telephone Number	:	847-567-7425
Fax Number	:	847-506-8927

Provider Business Practice Location Address
First Line	:	1640 N ARLINGTON HEIGHTS RD STE 101
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3985
Country	:	US
Telephone Number	:	847-567-7425
Fax Number	:	847-506-8927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	04/06/2026

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