Individual
ANJANA MATIWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 MCCONNOR PARKWAY, SCHAUMBURG, IL 60188
(215) 681-8167
Mailing address
1236 BURNHAM STREET, CAROL STREAM, IL 60188
(630) 871-6044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.039739
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.039739
REGISTERED PHARMACIST
IL
Enumeration date
09/02/2018
Last updated
09/02/2018
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