MEDICARE: ARUN 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		IL

General Provider Information

NPI Number	:	1356389472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARUN PATEL

Provider Business Mailing Address
First Line	:	5401 CLEVELAND ST
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-3533
Country	:	US
Telephone Number	:	847-965-8466
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 CLEVELAND ST
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-3533
Country	:	US
Telephone Number	:	847-965-8466
Fax Number	:

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/08/2007

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Directions to “ ARUN PATEL ” Practice Location

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