Individual
GHANSHYAM PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 E LAKE ST, BLOOMINGDALE, IL 60108-1129
(630) 894-3276
Mailing address
180 E LAKE ST, BLOOMINGDALE, IL 60108-1129
(630) 894-3276
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051036825
IL
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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