Healthcare Provider Details

I. General information

NPI: 1871406041
Provider Name (Legal Business Name): AASHVI PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

296 RANDALL RD
GENEVA IL
60134-4203
US

IV. Provider business mailing address

296 RANDALL RD
GENEVA IL
60134-4203
US

V. Phone/Fax

Practice location:
  • Phone: 163-020-8393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.040861
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: