Individual
AMY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 DIANE LN, ELK GROVE VILLAGE, IL 60007-3056
(224) 715-6912
Mailing address
1215 DIANE LN, ELK GROVE VILLAGE, IL 60007-3056
(224) 715-6912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051298893
IL
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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