Provider Demographics
NPI:1487722898
Name:PATEL, ROSHNI (MS, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:ROSHNI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WINFIELD RD., #519
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60195-1295
Mailing Address - Country:US
Mailing Address - Phone:630-668-2180
Mailing Address - Fax:630-668-2195
Practice Address - Street 1:25 WINFIELD RD., #519
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60195-1295
Practice Address - Country:US
Practice Address - Phone:630-668-2180
Practice Address - Fax:630-668-2195
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000843231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist