Individual
DEEPAK T DATTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
420 COUNTRY CLUB DR, BENSENVILLE, IL 60106-1507
(630) 354-6300
(630) 354-6309
Mailing address
420 COUNTRY CLUB DR, BENSENVILLE, IL 60106-1507
(630) 354-6300
(630) 354-6309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051033397
IL
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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