Individual
DR. DHARVIN MAISURIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
7300 191ST ST, TINLEY PARK, IL 60487-9361
(815) 806-3211
Mailing address
7300 191ST ST, TINLEY PARK, IL 60487-9361
(815) 806-3211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051292784
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051292784
PHARMACIST LICENSE
IL
Enumeration date
02/22/2010
Last updated
06/10/2010
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