Individual
DR. JOE VADAKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5000 S 5TH AVE, INPATIENT PHARMACY SERVICE (119), HINES, IL 60141-3030
(708) 202-8387
Mailing address
6965 FIELDSTONE DR, BURR RIDGE, IL 60527-5295
(630) 789-9483
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.294259
IL
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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