Individual
IRVINPREET BHATTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 N EDWARDS BLVD, LAKE GENEVA, WI 53147-4563
(262) 248-7885
Mailing address
1 W PETER LN, HAWTHORN WOODS, IL 60047-7512
(847) 505-9930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.302920
IL
183500000X
Pharmacist
19581875
WI
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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