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Individual

DR. CHIRAG PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3021 FALLING WATERS BLVD STE B, LINDENHURST, IL 60046-6745
(847) 346-9958
Mailing address
883 E FOREST AVE, DES PLAINES, IL 60018-1451
(847) 346-9958

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054021252
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
054021252
PHARMACY LICENSE NUMBER
IL
Enumeration date
11/04/2019
Last updated
11/04/2019
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