Individual
JENISH S GHEEWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7510 N WESTERN AVE, CHICAGO, IL 60645-1511
(847) 924-6562
Mailing address
7510 N WESTERN AVE, CHICAGO, IL 60645-1511
(847) 924-6562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.304237
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.304237
183500000X-PHARMACIST
IL
Enumeration date
09/07/2021
Last updated
09/07/2021
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