Individual provider · Type 1 NPI

Pooja Dave Patel, NP

Nurse Practitioner · Chicago, IL

NPI number 1639430655 Active

Practice location

1809 W Chicago Ave # 5
Chicago, IL 60622-5677

Mailing address

812 W Van Buren St Apt 4D
Chicago, IL 60607-3535

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209011185 (IL)
Family Nurse Practitioner 363LF0000X209011185 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639430655

Pooja Dave Patel, NP's National Provider Identifier is 1639430655, issued on Jun 6, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 26, 2022.