Patel, Pooja Dave

Patel, Pooja Dave is an individual health care provider with primary practice located at 1809 W Chicago Ave # 5 , Chicago IL 60622-5677. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Patel, Pooja Dave can be contacted via phone (630) 709-7818.

Contact Information

Primary practice address
1809 W Chicago Ave # 5 Chicago IL 60622-5677
Phone: (630) 709-7818
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209011185 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209011185 Illinois

Profile Details

NPI number 1639430655
LBN Legal business name Patel, Pooja Dave
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Dec 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639430655 NPPES
Illinois Other 277.001241 277.001241

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