Individual
ESHA JAIDKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-2108
Mailing address
565 W QUINCY ST UNIT 1317, CHICAGO, IL 60661-2910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67790
CA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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