Healthcare Provider Details

I. General information

NPI: 1639446925
Provider Name (Legal Business Name): AARTI PARIKH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2011
Last Update Date: 11/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 S. WILLOW SPRINGS RD
INDIAN HEAD PARK IL
60525
US

IV. Provider business mailing address

8809 OGDEN AVE
BROOKFIELD IL
60513-2115
US

V. Phone/Fax

Practice location:
  • Phone: 708-588-1253
  • Fax:
Mailing address:
  • Phone: 708-485-9296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051-290402
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: