Healthcare Provider Details

I. General information

NPI: 1497742324
Provider Name (Legal Business Name): RAMESH V PATEL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5145 N CALIFORNIA AVE SWEDISH COVENANT HOSPITAL, PHARMACY
CHICAGO IL
60625-3661
US

IV. Provider business mailing address

8417 WILLOW WEST DR
WILLOW SPRINGS IL
60480-1171
US

V. Phone/Fax

Practice location:
  • Phone: 773-878-8200
  • Fax: 773-506-0085
Mailing address:
  • Phone: 708-839-8584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: