Individual provider · Type 1 NPI

Shivani Patel, DO

Student in an Organized Health Care Education/Training Program · Rockford, IL

NPI number 1134064868 Active

Practice location

5970 Churchview Dr
Rockford, IL 61107-2574

Call (815) 971-8990 Map

Fax (815) 971-9978

Mailing address

1410 Mohawk Rd
North Brunswick, NJ 08902-1411

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134064868

Shivani Patel, DO's National Provider Identifier is 1134064868, issued on Apr 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockford, IL. The record was last updated on Apr 21, 2026.