Provider Demographics
NPI:1972318285
Name:PATEL, SATYAVATI (LCP)
Entity type:Individual
Prefix:
First Name:SATYAVATI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4836 W HUTCHINSON ST APT 101
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-1618
Mailing Address - Country:US
Mailing Address - Phone:985-750-5723
Mailing Address - Fax:
Practice Address - Street 1:4337 W IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-2830
Practice Address - Country:US
Practice Address - Phone:773-255-1420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.021216101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health