Individual
HETAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 S 100 RT 53, GLEN ELLYN, IL 60137
(630) 545-1080
Mailing address
1936 WINDMILL DR, HANOVER PARK, IL 60133-6747
(630) 338-6499
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51041043
IL
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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