Individual
BHAVISH D BODALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 DUVAL CT, BOLINGBROOK, IL 60490-2087
(312) 804-1657
(630) 312-8921
Mailing address
4 DUVAL CT, BOLINGBROOK, IL 60490-2087
(312) 804-1657
(630) 312-8921
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.287731
IL
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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