Individual
AMI KOTECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
155 E BRUSH HILL RD, D 1543, ELMHURST, IL 60126-5658
(708) 263-8966
Mailing address
7514 W DIVERSEY AVE, UNIT 3S, ELMWOOD PARK, IL 60707-1461
(708) 263-8966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295407
IL
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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