Healthcare Provider Details

I. General information

NPI: 1114479748
Provider Name (Legal Business Name): AAPTI SHARAD PATEL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2016
Last Update Date: 09/19/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 GRANT ST
HARVARD IL
60033-1821
US

IV. Provider business mailing address

901 GRANT ST
HARVARD IL
60033-1821
US

V. Phone/Fax

Practice location:
  • Phone: 815-943-5431
  • Fax: 815-943-0659
Mailing address:
  • Phone: 815-943-5431
  • Fax: 815-943-0659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070022288
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: