Healthcare Provider Details

I. General information

NPI: 1871071431
Provider Name (Legal Business Name): HITEKSHA PATEL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2018
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 FOXFIELD RD STE 307
SAINT CHARLES IL
60174-5799
US

IV. Provider business mailing address

219 HEARTHSTONE DR
BARTLETT IL
60103-1393
US

V. Phone/Fax

Practice location:
  • Phone: 630-208-3200
  • Fax: 630-208-3201
Mailing address:
  • Phone: 847-839-8081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.017560
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209.017560
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: