Healthcare Provider Details

I. General information

NPI: 1124972377
Provider Name (Legal Business Name): RAHI PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7304 NORTHWAY DR
HANOVER PARK IL
60133-2737
US

IV. Provider business mailing address

7304 NORTHWAY DR
HANOVER PARK IL
60133-2737
US

V. Phone/Fax

Practice location:
  • Phone: 630-923-2671
  • Fax:
Mailing address:
  • Phone: 630-923-2671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF05250783
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: