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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NISHA D PATEL, MD

Active

NISHA D PATEL, MD is a Sports Medicine (IM) healthcare provider located in LIBERTYVILLE, Illinois. NPI 1558744813 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · LIBERTYVILLE, IL

Registration Details

NPI Number
1558744813
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2015 (11.135350875448 yrs)
Last Updated
Nov 9, 2022
Licenses
036.149939 (IL)
036.149939 (IL)

Practice Information

Address
900 TECHNOLOGY WAY STE 120
LIBERTYVILLE, IL, 600485364
Browse IL providers · Browse ZIP 60048
Phone
8472314721
Primary Specialty
Sports Medicine (IM)
207RS0012X
Additional Specialty
Sports Medicine (IM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.