Individual ProviderHina PatelNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1755 Rand Rd, Unit 10, Des Plaines, IL 60016-3556(630) 550-0503PECOS EnrollmentBased on the most recent information from CMS, provider Hina Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1760932867Provider TypeIndividualFull NamePatel, HinaGenderFemaleSole ProprietorYesEnumeration Date10/12/2016Last Updated10/12/2016Contact InformationPractice LocationPractice Address1755 Rand Rd, Unit 10, Des Plaines, IL 60016-3556Phone(630) 550-0503FaxUnlisted FaxMailing LocationMailing Address1755 Rand Rd, Unit 10, Des Plaines, IL 60016-3556Phone(630) 550-0503FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209-014825Illinois