Individual
AMIT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1278
Mailing address
101 W UNIVERSITY AVE STE 102, CHAMPAIGN, IL 61820-4039
(217) 366-1278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051299005
IL
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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