Healthcare Provider Details

I. General information

NPI: 1487170213
Provider Name (Legal Business Name): AVANI G PATEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AVANI G PATEL AVANI PATEL, RN, FNP

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 ALGONQUIN RD
ROLLING MEADOWS IL
60008-3607
US

IV. Provider business mailing address

PO BOX 746715
ATLANTA GA
30374-6715
US

V. Phone/Fax

Practice location:
  • Phone: 847-777-4340
  • Fax:
Mailing address:
  • Phone: 847-777-4340
  • Fax: 224-298-4517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.016233
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: