MEDICARE: RIZWANA PATEL APN-CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	350324	NY
2	363L00000X	Nurse Practitioner	209021900	IL

General Provider Information

NPI Number	:	1518579739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIZWANA PATEL APN-CNP

Provider Business Mailing Address
First Line	:	6810 N MCCORMICK BLVD
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-2709
Country	:	US
Telephone Number	:	847-674-6900
Fax Number	:

Provider Business Practice Location Address
First Line	:	6810 N MCCORMICK BLVD
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712
Country	:	US
Telephone Number	:	847-674-6900
Fax Number	:	847-329-4728

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	03/19/2026

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