Healthcare Provider Details

I. General information

NPI: 1710101969
Provider Name (Legal Business Name): HEMA A PATEL B.PHARM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6726 SWEETBRIAR LN
DARIEN IL
60561-3674
US

IV. Provider business mailing address

6726 SWEETBRIAR LN
DARIEN IL
60561-3674
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-4774
  • Fax:
Mailing address:
  • Phone: 312-996-4774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: