| Avani Patel, NP | |
|
8800 Active Ln, Hickory Hills, IL 60457-1253 | |
| (708) 296-6655 | |
| Not Available |
| Full Name | Avani Patel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 8800 Active Ln, Hickory Hills, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962160572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.024411 (Illinois) | Primary |
| Entity Name | Benchmark Psychiatric Services, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013118413 PECOS PAC ID: 0648379941 Enrollment ID: O20070627000644 |
| Entity Name | Brightside Medical Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230331000963 |
| Mailing Address | Practice Location Address |
|---|---|
| Avani Patel, NP 8800 Active Ln, Hickory Hills, IL 60457-1253 Ph: (708) 296-6655 | Avani Patel, NP 8800 Active Ln, Hickory Hills, IL 60457-1253 Ph: (708) 296-6655 |
Revi Chari Manipol Brinkman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9437 S 84th Ave, Hickory Hills, IL 60457 Phone: 714-343-7712 | |
Dunyah Awwad, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9604 S Roberts Rd, Hickory Hills, IL 60457 Phone: 708-887-7000 |