Most Relevant Information
Provider Data
| NPI Number: | 1003340134 |
| Provider Name: | DEEPA PATEL LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 166.001327 |
Most Important Dates
| Enumeration Date: | 04/15/2017 |
| Last Updated: | 11/04/2019 |
Provider Practice Location
2451 N LINCOLN AVE STE 206
CHICAGO
IL
60614
Practice Location Phone/Fax
| Phone: | 6189102698 |
| Fax: |
Provider Mailing Location
1617 S MAIN ST
RED BUD
IL
622781366
Provider Mailing Phone/Fax
| Phone: | 6189102698 |
| Fax: |