Individual
DAXA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5TH AND ROOSEVELT RD, HINES, IL 60141
(708) 202-8387
Mailing address
8417 WILLOW WEST DR, WILLOW SPRINGS, IL 60480-1171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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