MEDICARE: BHARATI R 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
1	183500000X	Pharmacist	051033012	IL

General Provider Information

NPI Number	:	1275810020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHARATI R PATEL

Provider Business Mailing Address
First Line	:	6240 BELMONT RD
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-1638
Country	:	US
Telephone Number	:	630-960-4160
Fax Number	:	630-960-4651

Provider Business Practice Location Address
First Line	:	6240 BELMONT RD
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-1638
Country	:	US
Telephone Number	:	630-960-4160
Fax Number	:	630-960-4651

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2011
Last Update Date	:	11/08/2011

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Directions to “ BHARATI R PATEL ” Practice Location

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