Healthcare Provider Details

I. General information

NPI: 1659294866
Provider Name (Legal Business Name): BEACON MIDWEST PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3490 HAROLD CIR
HOFFMAN ESTATES IL
60192-2000
US

IV. Provider business mailing address

3490 HAROLD CIR
HOFFMAN ESTATES IL
60192-2000
US

V. Phone/Fax

Practice location:
  • Phone: 630-965-4154
  • Fax:
Mailing address:
  • Phone: 630-965-4154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PURVI PATEL
Title or Position: OWNER
Credential: APN
Phone: 630-965-4154