Individual
MR. JITESH A PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
1516 MADISON ST, MAYWOOD, IL 60153-1824
(708) 345-4658
(708) 345-1011
Mailing address
1412 PINE COVE CT, DARIEN, IL 60561-4999
(630) 427-1768
(708) 345-1011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364148087001
—
IL
Enumeration date
07/18/2006
Last updated
07/08/2007
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