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NPI Code Detail

MEDICARE: MR. ZAHEER PATEL

MEDICARE:  MR. ZAHEER  PATEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051-040955IL

General Provider Information

NPI Number : 1013298959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ZAHEER PATEL
Provider Business Mailing Address
First Line : 4817 W SHERWIN AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-1618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5158 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-2521
Country : US
Telephone Number : 773-907-8490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 09/06/2011

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Directions to “ MR. ZAHEER PATEL ” Practice Location

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