Provider Demographics
NPI:1679632160
Name:ROYER-PATEL, ELIZABETH S (NP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:S
Last Name:ROYER-PATEL
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Mailing Address - Street 1:4105 N PERRYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-8653
Mailing Address - Country:US
Mailing Address - Phone:815-222-1302
Mailing Address - Fax:779-207-4506
Practice Address - Street 1:4105 N PERRYVILLE RD
Practice Address - Street 2:
Practice Address - City:LOVES PARK
Practice Address - State:IL
Practice Address - Zip Code:61111-8653
Practice Address - Country:US
Practice Address - Phone:815-222-1302
Practice Address - Fax:779-207-4506
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL309.005602363LF0000X
IL277.003269363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily