MEDICARE: SATYAVATI PATEL LCP

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	101YM0800X	Mental Health Counselor	178.021216	IL

General Provider Information

NPI Number	:	1972318285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SATYAVATI PATEL LCP

Provider Business Mailing Address
First Line	:	4836 W HUTCHINSON ST APT 101
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-1618
Country	:	US
Telephone Number	:	985-750-5723
Fax Number	:

Provider Business Practice Location Address
First Line	:	4337 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-2830
Country	:	US
Telephone Number	:	773-255-1420
Fax Number	:

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

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	02/12/2025

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