Healthcare Provider Details

I. General information

NPI: 1982528600
Provider Name (Legal Business Name): SAMIM YUNUS PATEL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 N MILWAUKEE AVE STE 7
NILES IL
60714-3172
US

IV. Provider business mailing address

3954 W WALLEN AVE
LINCOLNWOOD IL
60712-3617
US

V. Phone/Fax

Practice location:
  • Phone: 847-595-1945
  • Fax:
Mailing address:
  • Phone: 773-715-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056.026993
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: