Individual
ASMITA THAKKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4626 W DIVERSEY AVE, CHICAGO, IL 60639-1829
(773) 628-1883
(773) 628-1884
Mailing address
1317 E CHRISTINA CT, ARLINGTON HTS, IL 60004-5026
(847) 322-2768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293917
IL
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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