Healthcare Provider Details

I. General information

NPI: 1083221022
Provider Name (Legal Business Name): RASHMIKABEN KALABHAI PATEL CNP, MSN, BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2575 W ALGONQUIN RD
ALGONQUIN IL
60102-9409
US

IV. Provider business mailing address

2575 W ALGONQUIN RD
ALGONQUIN IL
60102-9409
US

V. Phone/Fax

Practice location:
  • Phone: 617-682-5164
  • Fax:
Mailing address:
  • Phone: 847-458-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2314734
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209029388
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2314734
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: