Individual
KAVIN P PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 LAVINA CT, BOLINGBROOK, IL 60440-9052
(630) 915-2917
Mailing address
645 LAVINA CT, BOLINGBROOK, IL 60440-9052
(630) 915-2917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
78058
CA
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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