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Individual

MRS. CHANDRABALA K PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
695 W BOUGHTON RD, BOLINGBRROK, IL 60440-1742
(630) 771-1494
(630) 771-1542
Mailing address
695 W BOUGHTON RD, BOLINGBROOK, IL 60440-1752
(630) 771-1494
(630) 771-1542

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-032985
IL

Other

Enumeration date
09/21/2011
Last updated
09/21/2011
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