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Denise Patel

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

150 N River Rd Ste 310, Des Plaines, IL 60016-1272

PECOS Enrollment

Based on the most recent information from CMS, provider Denise Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1255068060
Provider Type
Individual
Full Name
Patel, Denise
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/2/2022
Last Updated
8/2/2022

Contact Information

Practice Location

150 N River Rd Ste 310, Des Plaines, IL 60016-1272

(847) 795-0900

Unlisted Fax

Mailing Location

1069 W 14th Pl Unit 309, Chicago, IL 60608-2078

(312) 927-7030

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209.025558 Illinois

Denise Patel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Udagwua, Jude

Dela Cruz, Ralph

Mack, Susan A

Niewiarowski, Ketina

Woundcare At Home

Joseph, Tina

Tariq, Shamsa

Ninan, Princy

Duff, Paula Ida

Vasquez, Kelly Marie